Organization
SUNRISE MEDICATIONS INC
Active
Other names
Medi Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA M JEFFCOAT (VICE PRESIDENT)
(803) 957-0500
Entity
Organization
Contact information
Practice address
2 PALMETTO WOOD PKWY, STE 100, IRMO, SC 29063-2881
(877) 936-1045
(877) 936-9735
Mailing address
PO BOX 1928, LEXINGTON, SC 29071-1928
(803) 957-0500
(888) 342-6190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
15202
SC
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715202
—
SC
Enumeration date
07/01/2005
Last updated
10/08/2019
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