Organization
SUN PHARMA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONLEE CAMEJO (PRESIDENT)
(305) 714-0961
Entity
Organization
Contact information
Practice address
10521 SW 40 ST, MIAMI, FL 33165-3747
(305) 714-0962
(305) 714-0961
Mailing address
10521 SW 40 ST, MIAMI, FL 33165-3747
(305) 714-0962
(305) 714-0961
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31729
PHARMACY
FL
Enumeration date
12/06/2018
Last updated
07/24/2019
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