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Organization

SHUBHOM HEALTHCARE LLC

Active
Other names
Sun Discount Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BHUMIN PATEL (PHARMACY MANAGER)
(941) 773-4460
Entity
Organization

Contact information

Practice address
3600 S TUTTLE AVE, SARASOTA, FL 34239-6407
(941) 556-9622
(941) 556-9623
Mailing address
3600 S TUTTLE AVE, SARASOTA, FL 34239-6407
(941) 556-9622
(941) 556-9623

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24996
FL
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003014800
FL
01
2127229
PK
Enumeration date
10/19/2010
Last updated
06/17/2019
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