Organization
SUNLIFE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO LEON I (PRESIDENT)
(754) 816-5158
Entity
Organization
Contact information
Practice address
7164 PEMBROKE RD, MIRAMAR, FL 33023-2627
(754) 816-5158
(754) 816-5159
Mailing address
7164 PEMBROKE RD, MIRAMAR, FL 33023-2627
(754) 816-5158
(754) 816-5159
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PH28882
FL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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