Provider Demographics
NPI:1821096769
Name:SUNIL PHARMACY INC
Entity Type:Organization
Organization Name:SUNIL PHARMACY INC
Other - Org Name:WEST GIRARD HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUBHASH
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-235-3245
Mailing Address - Street 1:1207 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-4301
Mailing Address - Country:US
Mailing Address - Phone:215-235-3245
Mailing Address - Fax:215-232-2859
Practice Address - Street 1:1207 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-4301
Practice Address - Country:US
Practice Address - Phone:215-235-3245
Practice Address - Fax:215-232-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413337L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001241911Medicaid
PA001241911Medicaid