Organization
SUN PHARMACY, INC.
Active
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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