Provider Demographics
NPI:1851372221
Name:SUNNY PHARMACY AND DISCOUNT
Entity Type:Organization
Organization Name:SUNNY PHARMACY AND DISCOUNT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LORRIMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-231-3199
Mailing Address - Street 1:3960 W 16TH AVE
Mailing Address - Street 2:206
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7029
Mailing Address - Country:US
Mailing Address - Phone:305-231-3199
Mailing Address - Fax:305-231-6922
Practice Address - Street 1:3960 W 16TH AVE
Practice Address - Street 2:206
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7029
Practice Address - Country:US
Practice Address - Phone:305-231-3199
Practice Address - Fax:305-231-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH20780332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5336380001Medicare NSC