Organization
SUNNYSIDE PEDIATRIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEHU T GRACIA PHARMD (CHIEF OPERATING OFFICER)
(361) 806-9100
Entity
Organization
Contact information
Practice address
2511 E CORRAL AVE STE A, KINGSVILLE, TX 78363-4145
(361) 737-1190
Mailing address
5817 PATTON ST STE 100, CORPUS CHRISTI, TX 78414-2428
(361) 806-9100
(361) 806-9449
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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