Sunset Pharmacy

LBN: Sunset Pharmacy Llc
Sunset Pharmacy is an health care organization with primary practice located at 4224 Cleveland Ave Ste 5 First Floor, Fort Myers FL 33901-9051. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Sunset Pharmacy Llc can be contacted via phone (239) 225-6337, or through Twyman, Courtland via phone (239) 225-6337.

Contact Information

Primary practice address
4224 Cleveland Ave Ste 5 First Floor Fort Myers FL 33901-9051
Phone: (239) 225-6337
Fax: (239) 437-6337
Website:
Map and Directions
Authorized official contact:
Name: Twyman, Courtland
Phone: (239) 225-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PH 24933 Florida

Profile Details

NPI number 1801168034
LBN Legal business name Sunset Pharmacy Llc
DBA Doing business as Sunset Pharmacy
Authorized official Twyman, Courtland
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2012
Last updated Mar 20th, 2012 - about 12 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 1801168034 NPPES
Other 5708966 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 003508600 NCPDP PROVIDER IDENTIFICATION NUMBER

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