Provider Demographics
NPI:1043392970
Name:USA SUNSET PHARMACY INC
Entity Type:Organization
Organization Name:USA SUNSET PHARMACY INC
Other - Org Name:SENTRY DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-271-3838
Mailing Address - Street 1:9783 SW 72ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4615
Mailing Address - Country:US
Mailing Address - Phone:305-271-3838
Mailing Address - Fax:305-279-5903
Practice Address - Street 1:9783 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4615
Practice Address - Country:US
Practice Address - Phone:305-271-3838
Practice Address - Fax:305-279-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1016220OtherNBDP