Sunnyside Pharmacy

LBN: Sunnyside Pediatric Pharmacy
Sunnyside Pharmacy is an health care organization with primary practice located at 5817 Patton St Ste 100 , Corpus Christi TX 78414-2428. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sunnyside Pediatric Pharmacy can be contacted via phone (361) 806-9100, or through Gracia, Jehu Tomas via phone (361) 806-9100.

Contact Information

Primary practice address
5817 Patton St Ste 100 Corpus Christi TX 78414-2428
Phone: (361) 806-9100
Fax: (361) 806-9449
Website:
Map and Directions
Authorized official contact:
Name: Gracia, Jehu Tomas PHARMD
Phone: (361) 806-9100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1265004394
LBN Legal business name Sunnyside Pediatric Pharmacy
DBA Doing business as Sunnyside Pharmacy
Authorized official Gracia, Jehu Tomas PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2021
Last updated Jul 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265004394 NPPES
Texas Other 33859 PHARMACY LICENSE

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