NPI | 1851857270 |
---|---|
Doing Business As | SUNRISE PHARMACY |
Entity Type | Organization |
Authorized Contact | EZEKIEL KEERENG KESITILWE Manager 928-230-9812 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-02-11 |