# SUNRISE GOLD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunridge LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265990287
- **Authorized official:** MA SUSAN ABULENCIA (PHARMACIST-IN-CHARGE/PRESIDENT)
- **Authorized official phone:** (916) 500-3303

## Contact information

- **Practice address:** 11460 SUNRISE GOLD CIR STE F, RANCHO CORDOVA, CA 95742-6572
- **Practice address phone:** (916) 500-3303
- **Practice address fax:** (916) 244-7344
- **Mailing address:** 11460 SUNRISE GOLD CIR STE F, RANCHO CORDOVA, CA 95742-6572
- **Mailing address phone:** (916) 500-3303
- **Mailing address fax:** (916) 244-7344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2019
- **Last updated:** 05/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY56812 | BOARD OF PHARMACY | CA |