Provider Demographics
NPI:1952655425
Name:SUNSHINE FAMILY PHARMACY LTD.
Entity Type:Organization
Organization Name:SUNSHINE FAMILY PHARMACY LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MCGRADY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:252-715-0170
Mailing Address - Street 1:1187 DUCK RD
Mailing Address - Street 2:
Mailing Address - City:DUCK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-4570
Mailing Address - Country:US
Mailing Address - Phone:252-287-0480
Mailing Address - Fax:
Practice Address - Street 1:1187 DUCK RD
Practice Address - Street 2:
Practice Address - City:DUCK
Practice Address - State:NC
Practice Address - Zip Code:27949-4570
Practice Address - Country:US
Practice Address - Phone:252-287-0480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16845333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy