Organization
SUN RX LLC
Active
Other names
Sunrise Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HIRAL PATEL (OWNER/PIC/AO)
(813) 633-8222
Entity
Organization
Contact information
Practice address
139 S PEBBLE BEACH BLVD, SUITE 103, SUN CITY CENTER, FL 33573-5799
(813) 633-8222
(813) 633-8227
Mailing address
139 S PEBBLE BEACH BLVD, SUITE 103, SUN CITY CENTER, FL 33573-5799
(813) 633-8222
(813) 633-8227
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23889
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000871301
—
FL
01
—
2119121
PK
—
Enumeration date
02/19/2009
Last updated
07/19/2018
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