Organization
SHUBHOM PHARMACY LLC
Active
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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