Lauderdale Pharmacy

LBN: Sunrise Pharmacy Llc
Lauderdale Pharmacy is an health care organization with primary practice located at 4000 N State Road 7 Suite 103, Lauderdale Lakes FL 33319-4804. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sunrise Pharmacy Llc can be contacted via phone (954) 530-7171, or through Olumide, Oluwole Ayotunde via phone (954) 530-7171.

Contact Information

Primary practice address
4000 N State Road 7 Suite 103 Lauderdale Lakes FL 33319-4804
Fax: (954) 440-4180
Website:
Authorized official contact:
Name: Olumide, Oluwole Ayotunde PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH28385 Florida

Profile Details

NPI number 1659780518
LBN Legal business name Sunrise Pharmacy Llc
DBA Doing business as Lauderdale Pharmacy
Authorized official Olumide, Oluwole Ayotunde PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2014
Last updated Sep 1st, 2021 - about 3 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 1659780518 NPPES
Florida MEDICAID 012965100

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