Organization
SUN HEALTH AND WELLNESS, INC
Active
Other names
First Choice Pharmacy #1210
Organization subpart
No
Provider details
NPI number
Authorized official
BALA KODE PHARM.D (PRESIDENT)
(863) 438-2799
Entity
Organization
Contact information
Practice address
401 E HINSON AVE, HAINES CITY, FL 33844-5237
(863) 438-2799
(863) 438-2770
Mailing address
401 E HINSON AVE, HAINES CITY, FL 33844-5237
(863) 438-2799
(863) 438-2770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24750
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24750
BOARD OF PHARMACY
FL
Enumeration date
07/29/2010
Last updated
05/03/2023
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