Organization
SUN PHARMACY INC
Active
Other names
SUN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN PATEL (PRESIDENT)
(773) 783-2865
Entity
Organization
Contact information
Practice address
327 W 76TH ST, CHICAGO, IL 60620-1604
(773) 783-2865
(773) 224-6841
Mailing address
2030 HARRISON ST, GLENVIEW, IL 60025-4940
(847) 729-3060
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054015905
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1458694
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
03/03/2010
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