# SUN CITY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUN CITY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598869547
- **Authorized official:** JONATHAN LO (PRESIDENT AND OWNER)
- **Authorized official phone:** (951) 679-6380

## Contact information

- **Practice address:** 27994 BRADLEY RD, STE D, SUN CITY, CA 92586-2240
- **Practice address phone:** (951) 679-6380
- **Practice address fax:** (951) 672-2261
- **Mailing address:** 27994 BRADLEY RD, STE D, SUN CITY, CA 92586-2240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHY47298 | CA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5616620 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | PHA472980 | — | CA |