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
109 PARK PLACE BLVD, SUITE A, DAVENPORT, FL 33837
(863) 547-9944
Mailing address
109 PARK PLACE BLVD, SUITE A, DAVENPORT, FL 33837
(863) 547-9944
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32889
BOARD OF PHARMACY
FL
Enumeration date
09/01/2020
Last updated
09/01/2020
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