NPI Registry.org

Sunnyside Pediatric Pharmacy

NPI Registration Record

Provider / OrganizationNPIDate Certified
SUNNYSIDE PEDIATRIC PHARMACY12650043942021-10-10

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, Durable Medical Equipment & Medical Supplies (Durable Medical Equipment & Medical Supplies, ) (Pharmacy/DME, ) (Durable Medical Equipment & Medical Supplies, Suppliers) (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:
Entity TypeOrganization
Provider OrganizationSUNNYSIDE PEDIATRIC PHARMACY
Other Provider OrganizationSUNNYSIDE PHARMACY
Practice Office Address5817 PATTON ST STE 100
CORPUS CHRISTI, TX US
Practice Office Telephone3618069100
Practice Office Fax3618069446
Mailing Address5817 PATTON ST STE 100
CORPUS CHRISTI, TX 784142428 US
Business Telephone3618069100
Business Fax3618069449
Authorized OfficialENRIQUEZ FONSECA, CONSULTANT
3618061000
Offices / Locations
AddressCity / StatePhone / Fax
5817 Patton St Ste 100 Corpus Christi, TX 784142428 3618069100 / 3618069446
HPT Codes
CodePractice
License No
State
332B00000X
Suppliers
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies

Pharmacy/DME

Durable Medical Equipment & Medical Supplies
Suppliers
3336C0002X
Suppliers
Pharmacy
Pharmacy: Clinic Pharmacy

Pharmacy Clinic Pharmacy
Suppliers
Pharmacy
3336C0003X PRIMARYAccess to Pharmacies
Suppliers
Pharmacy
Suppliers
Pharmacy
Pharmacy: Community/Retail Pharmacy

Pharmacy/DME

Pharmacy Community/Retail Pharmacy
Suppliers
Pharmacy
OPI Codes
33859 OTHER TX PHARMACY LICENS
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