Sunrise Rx Pharmacy

LBN: Sunrise Rx Pharmacy
Sunrise Rx Pharmacy 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
Fax: (239) 288-7451
Website:
Authorized official contact:
Name: Gonzalez Martinez, Elier

Health care specialties

SpecialtyCodeLicense #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 Sunrise Rx Pharmacy
Authorized official Gonzalez Martinez, Elier
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2012
Last updated Sep 15th, 2016 - about 8 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 1376800367 NPPES
Other 2135241 PK
MEDICAID 006433900 PK

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