Organization
PACIFIC HEALTHCARE INC
Active
Other names
Sunny Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HYUN J RO PHARMD (OWNER)
(714) 705-6355
Entity
Organization
Contact information
Practice address
1907 SUNNYCREST DR, FULLERTON, CA 92835-3626
(714) 871-8190
(714) 871-1339
Mailing address
2271 W MALVERN AVE, 368, FULLERTON, CA 92833-2106
(714) 705-6355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50436
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128038
PK
—
05
—
PHA504360
—
CA
Enumeration date
10/03/2006
Last updated
06/30/2017
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