Provider Demographics
NPI:1609946789
Name:TEMCO DRUGS INC
Entity Type:Organization
Organization Name:TEMCO DRUGS INC
Other - Org Name:SUNSHINE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHCST
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KISER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:352-245-3961
Mailing Address - Street 1:5909 SE ABSHIER BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-4025
Mailing Address - Country:US
Mailing Address - Phone:352-245-3961
Mailing Address - Fax:
Practice Address - Street 1:5909 SE ABSHIER BLVD
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-4025
Practice Address - Country:US
Practice Address - Phone:352-245-3961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH9366333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1054042OtherOTHER ID NUMBER-COMMERCIAL NUMBER
FL0139520001Medicare NSC