Organization
GOLD SUN YUAN INC
Active
Other names
SUN YUAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TONY TSE RPH (CFO)
(626) 572-0800
Entity
Organization
Contact information
Practice address
201 W GARVEY AVE, STE 107, MONTEREY PARK, CA 91754-7418
(626) 572-0800
(626) 572-8505
Mailing address
201 W GARVEY AVE, STE 107, MONTEREY PARK, CA 91754-7418
(626) 572-0800
(626) 572-8505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245323674
—
CA
01
—
2113451
PK
—
Enumeration date
09/30/2006
Last updated
11/25/2015
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