Sunrise Pharmacy, LLC

NPI #1457996662 in Pontiac, Michigan

Provider Information

NPI Number: 1457996662
Entity Type: Organization
Organization Name: Sunrise Pharmacy, LLC
Primary Specialty: Pharmacy
Enumeration Date: Nov 12, 2019
Last Updated: Nov 12, 2019

Practice Location

Address: 989 UNIVERSITY DR STE 104
City: Pontiac
State: Michigan
ZIP Code: 48342-1885
Phone: (586) 215-2892

Authorized Official

Name: VIRENDRA GAIDHANE
Title: PRESIDENT
Phone: (586) 215-2892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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