NPI | 1265004394 |
---|---|
Doing Business As | SUNNYSIDE PHARMACY |
Entity Type | Organization |
Authorized Contact | JEHU TOMAS GRACIA Chief Operating Officer 361-806-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2021-07-16 |
Last Update Date | 2022-07-19 |