Organization
ANIL BUTALA
Active
Other names
SUNRISE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL BUTALA RPH (PIC AND OWNER)
(323) 981-9931
Entity
Organization
Contact information
Practice address
3706 E CESAR CHAVEZ AVE, LOS ANGELES, CA 90063
(323) 981-9931
(323) 981-9933
Mailing address
3706 E CESAR CHAVEZ AVE, LOS ANGELES, CA 90063
(323) 981-9931
(323) 981-9933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613939
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/08/2007
Last updated
09/18/2012
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