Organization
SUN CITY PHARMACY
Active
Other names
SUN CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LO (PRESIDENT AND OWNER)
(951) 679-6380
Entity
Organization
Contact information
Practice address
27994 BRADLEY RD, STE D, SUN CITY, CA 92586-2240
(951) 679-6380
(951) 672-2261
Mailing address
27994 BRADLEY RD, STE D, SUN CITY, CA 92586-2240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY47298
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616620
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA472980
—
CA
Enumeration date
09/12/2006
Last updated
09/11/2025
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