Provider Demographics
NPI:1942174776
Name:SUNSHINE PHARMACY OF LONGWOOD LLC
Entity type:Organization
Organization Name:SUNSHINE PHARMACY OF LONGWOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARANJIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SODHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-474-4441
Mailing Address - Street 1:876 S US HIGHWAY 17 92
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5711
Mailing Address - Country:US
Mailing Address - Phone:407-790-7254
Mailing Address - Fax:321-295-7978
Practice Address - Street 1:876 S US HIGHWAY 17 92
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5711
Practice Address - Country:US
Practice Address - Phone:407-790-7254
Practice Address - Fax:321-295-7978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy