| NPI | 1073289096 |
|---|---|
| Doing Business As | SUNNYSIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEHU TOMAS GRACIA Pharmacist In Charge 361-806-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2022-09-30 |