Organization
FULLERTON CARE PHARMACY, INC.
Active
Organization
FULLERTON CARE PHARMACY, INC.
Active
Other names
Fullerton Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAE CHUL SUH RPH (OWNER)
(714) 992-4908
Entity
Organization
Contact information
Practice address
1401 S BROOKHURST RD, STE 101, FULLERTON, CA 92833-4471
(714) 992-4908
(714) 992-2554
Mailing address
1401 S BROOKHURST RD STE 101, FULLERTON, CA 92833-4492
(714) 992-4908
(714) 992-2554
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129447
PK
—
05
—
6513510001
—
CA
01
—
PHY61563
PHARMACY PERMIT
CA
Enumeration date
03/10/2008
Last updated
08/17/2026
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