Provider Demographics
NPI:1215978275
Name:SUNSHINE PHARMACY MEDICAL INC
Entity type:Organization
Organization Name:SUNSHINE PHARMACY MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-775-6800
Mailing Address - Street 1:6350 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-5323
Mailing Address - Country:US
Mailing Address - Phone:239-775-7207
Mailing Address - Fax:239-963-3098
Practice Address - Street 1:6350 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-5323
Practice Address - Country:US
Practice Address - Phone:239-775-7207
Practice Address - Fax:239-963-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH220513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1019567OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1019567OtherNCPDP PROVIDER IDENTIFICATION NUMBER