Provider Demographics
NPI:1780045047
Name:SUNSET RX PHARMACY LLC
Entity Type:Organization
Organization Name:SUNSET RX PHARMACY LLC
Other - Org Name:SUNSET RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEFIK
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNAYDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-949-6333
Mailing Address - Street 1:1104 SUNSET RD
Mailing Address - Street 2:A AND B
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2208
Mailing Address - Country:US
Mailing Address - Phone:609-521-4900
Mailing Address - Fax:609-531-2938
Practice Address - Street 1:1104 SUNSET RD
Practice Address - Street 2:A AND B
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-2208
Practice Address - Country:US
Practice Address - Phone:609-521-4900
Practice Address - Fax:609-531-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS007485003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158791OtherPK