Sunnyside Pediatric Pharmacy

NPI Registration Record

Provider / Organization	NPI	Date Certified
SUNNYSIDE PEDIATRIC PHARMACY	1265004394	2021-07-16

The organization Sunnyside Pediatric Pharmacy is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1265004394. Registration indicates Sunnyside Pediatric Pharmacy is a provider of services with a specialization in Suppliers, Pharmacy (Pharmacy: Clinic Pharmacy, ) (Pharmacy Clinic Pharmacy, Suppliers) (Pharmacy, ) Access to Pharmacies (Suppliers, Pharmacy) (Suppliers, Pharmacy) (Pharmacy: Community/Retail Pharmacy, ) (Pharmacy/DME, ) (Pharmacy Community/Retail Pharmacy, Suppliers) (Pharmacy, )

Other Names:

• Sunnyside Pharmacy

Entity Type	Organization
Provider Organization	SUNNYSIDE PEDIATRIC PHARMACY
Other Provider Organization	SUNNYSIDE PHARMACY
Practice Office Address	5817 PATTON ST STE 100 CORPUS CHRISTI, TX US
Practice Office Telephone	3618069100
Practice Office Fax	3618069449
Mailing Address	5817 PATTON ST STE 100 CORPUS CHRISTI, TX 784142428 US
Business Telephone	3618069100
Business Fax	3618069449
Authorized Official	JEHU TOMAS GRACIA, CHIEF OPERATING 3618069100

Offices / Locations

Address	City / State	Phone / Fax
5817 Patton St Ste 100	Corpus Christi, TX 784142428	3618069100 / 3618069449

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