Organization
SUNSHINE PHARMACY SERVICES LLC
Active
Other names
South Lake Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE MCHUGH (OWNER)
(803) 399-7701
Entity
Organization
Contact information
Practice address
1856 S LAKE DR STE K, LEXINGTON, SC 29073-7225
(803) 399-7701
(803) 399-7702
Mailing address
634 PINE RIDGE DR STE B, WEST COLUMBIA, SC 29172-1885
(803) 939-8489
(803) 399-7702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16079
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151773
PK
—
05
—
716079
—
SC
Enumeration date
07/21/2015
Last updated
06/14/2023
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