Provider Demographics
NPI:1033728001
Name:THAO, SUNSHINE HNUCHI
Entity Type:Individual
Prefix:
First Name:SUNSHINE
Middle Name:HNUCHI
Last Name:THAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 SUMMITVIEW AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2945
Mailing Address - Country:US
Mailing Address - Phone:509-972-2986
Mailing Address - Fax:
Practice Address - Street 1:4001 SUMMITVIEW AVE STE 1
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-2945
Practice Address - Country:US
Practice Address - Phone:509-972-2986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR60986871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist