Organization
SUN HEALTH AND WELLNESS, INC
Active
Other names
First Choice Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BALA KODE (PRESIDENT)
(863) 547-9922
Entity
Organization
Contact information
Practice address
2306 NORTH BLVD W. SUITE A&B, DAVENPORT, FL 33837
(863) 547-9922
(863) 547-9950
Mailing address
401 E HINSON AVE, HAINES CITY, FL 33844-5237
(863) 438-2799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PH30296
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019105100
—
FL
01
—
2162519
PK
—
Enumeration date
08/16/2016
Last updated
05/03/2023
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