Organization
NEW SUTTER PROFESSIONAL PHARMACY INC
Active
Other names
SUTTER PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CHU PHRMD (OWNER/PRESIDENT)
(916) 704-9599
Entity
Organization
Contact information
Practice address
2300 SUTTER ST, SUITE 101, SAN FRANCISCO, CA 94115-3037
(415) 567-3223
(415) 567-2633
Mailing address
2300 SUTTER ST, SUITE 101, SAN FRANCISCO, CA 94115-3037
(415) 567-3223
(415) 567-2633
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550815
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1336119213
—
CA
Enumeration date
01/24/2006
Last updated
02/02/2010
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