Organization
SUNRISE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL BAROT RPH (PHARMACIST/MANAGER)
(239) 246-4314
Entity
Organization
Contact information
Practice address
1235 INDIAN TRAIL RD,, SUITE 200A, NORCROSS, GA 30093
(239) 246-4314
Mailing address
1235 INDIAN TRAIL RD,, SUITE 200A, NORCROSS, GA 30093
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009866
GA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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