Organization
SUN PHARMACY INC
Active
Other names
Sun Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAO KUE PHARMD (OWNER/MANAGER)
(763) 561-0722
Entity
Organization
Contact information
Practice address
6350 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2669
(763) 561-0722
(763) 561-0723
Mailing address
6350 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429
(763) 561-0722
(763) 561-0723
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263920
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285989830
—
MN
01
—
2136261
PK
—
Enumeration date
07/19/2012
Last updated
07/19/2018
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