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Contact Information

SUNNYSIDE PEDIATRIC PHARMACY
5817 PATTON ST STE 100
CORPUS CHRISTI, TX78414-2428
 Phone: 361-806-9100
 Fax: 361-806-9449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SUNNYSIDE PEDIATRIC PHARMACY

NPI # 1265004394
LBN Legal business name SUNNYSIDE PEDIATRIC PHARMACY
Authorized official JEHU GRACIA - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2021
Last updated 07/19/2022 - About 4 years ago
Identifiers
TX Other 33859 PHARMACY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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