Provider Demographics
NPI:1972782613
Name:SUNSHINE PHARMACY AT LIVINGSTON INC
Entity Type:Organization
Organization Name:SUNSHINE PHARMACY AT LIVINGSTON INC
Other - Org Name:SUNSHINE @ LIVINGSTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:239-775-6800
Mailing Address - Street 1:13020 LIVINGSTON RD
Mailing Address - Street 2:#8
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13020 LIVINGSTON RD
Practice Address - Street 2:#8
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-4959
Practice Address - Country:US
Practice Address - Phone:239-775-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH23009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH23009OtherFLORIDA BOARD OF PHARMACY