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Organization

FOX DRUG STORE INC

Active
Other names
Sunnyside Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUNNY RONNIE JUNG PHARM D. (CEO)
(559) 896-1645
Entity
Organization

Contact information

Practice address
1939 HIGH ST, SELMA, CA 93662-3510
(559) 896-1645
(559) 896-3266
Mailing address
1939 HIGH ST, SELMA, CA 93662-3510
(559) 896-1645
(559) 896-3266

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
27764
CA
1835N1003X
Nutrition Support Pharmacist
27764
CA
332B00000X
Durable Medical Equipment & Medical Supplies
PHY43450
CA
332BC3200X
Customized Equipment (DME)
PHY43450
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY43450
CA
333600000X
Pharmacy
Primary
PHY43450
CA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHY43450
CA
Enumeration date
08/29/2005
Last updated
04/28/2025
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