Organization
SUNSHINE PHARMACY LLC
Active
Other names
SUNSHINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIDANE ASSEFA (OWNER)
(340) 774-1531
Entity
Organization
Contact information
Practice address
9151 ESTATE THOMAS, FOOTHILLS PROF BLDG 107/108, ST THOMAS, VI 00802-2617
(340) 774-1551
(340) 774-1517
Mailing address
9151 EST.THOMAS, FOOTHILLS PROF BLDG 107/108, ST THOMAS, VI 00802
(340) 774-1551
(340) 774-1517
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114771L
VI
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5300518
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/09/2012
Last updated
05/09/2012
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