Organization
SUNRISE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PHAM PHARM D (CEO)
(209) 772-9088
Entity
Organization
Contact information
Practice address
51 WELLNESS WAY #110, VALLEY SPRINGS, CA 95252-9525
(209) 772-9088
Mailing address
51 WELLNESS WAY # 110, VALLEY SPRINGS, CA 95252-9736
(209) 772-9088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
01/13/2021
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