Organization
SHUBHOM PHARMACY LLC
Active
Other names
Sun Pharmacy of Venice
Organization subpart
No
Provider details
NPI number
Authorized official
BHUMIN PATEL (PHARMACY MANAGER)
(941) 556-9622
Entity
Organization
Contact information
Practice address
1214 E VENICE AVE STE C, VENICE, FL 34285-7165
(941) 773-4460
Mailing address
1214 E VENICE AVE STE C, VENICE, FL 34285-7165
(941) 773-4460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30244
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165748
PK
—
Enumeration date
10/31/2016
Last updated
10/31/2016
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