Organization
NEW SUTTER PROFESSIONAL PHARMACY INC
Active
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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