Organization
SUNSHINE PHARMACY LLC
Active
Other names
Sunshine Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE FOSTER (OWNER/PHARMACIST IN CHARGE)
(417) 863-0002
Entity
Organization
Contact information
Practice address
1536 W SUNSHINE ST, SPRINGFIELD, MO 65807-2349
(417) 863-0002
(417) 863-0012
Mailing address
1536 W SUNSHINE ST, SPRINGFIELD, MO 65807-2349
(417) 863-0002
(417) 863-0012
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2010032922
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126134
PK
—
Enumeration date
08/11/2010
Last updated
03/06/2017
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