<Unavail>
LBN: Sunrise Rx Pharmacy
<Unavail> is an health care organization with primary practice located at 2336 Cleveland Ave , Fort Myers FL 33901-3540. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sunrise Rx Pharmacy can be contacted via phone (239) 288-7450, or through Gonzalez Martinez, Elier via phone (239) 288-7450.
Contact Information
Primary practice address
2336 Cleveland Ave
Fort Myers FL 33901-3540
Phone: (239) 288-7450
Fax: (239) 288-7451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH26151 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1376800367 |
|---|---|
| LBN Legal business name | Sunrise Rx Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Gonzalez Martinez, Elier |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 16th, 2012 |
| Last updated | Sep 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376800367 | NPPES |
| Other | 2135241 | PK | |
| MEDICAID | 006433900 | PK |
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