Organization
SUN PHARMACY, INC.
Active
Other names
Sun Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LUU PHUONG NGUYEN RPH (OWNER, PIC, AO)
(408) 440-2077
Entity
Organization
Contact information
Practice address
2559 S KING RD, SUITE B10, SAN JOSE, CA 95122-1894
(408) 440-2077
(408) 677-3957
Mailing address
2559 S KING RD, SUITE B10, SAN JOSE, CA 95122-1894
(408) 440-2077
(408) 677-3957
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
54368
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
54368
CA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54368
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336508308
—
CA
01
—
2158484
PK
—
Enumeration date
02/18/2016
Last updated
04/19/2017
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