Provider Demographics
NPI:1083913610
Name:SANGUYU, JUNE AUREA (RPH)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:AUREA
Last Name:SANGUYU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-1206
Mailing Address - Country:US
Mailing Address - Phone:650-757-3002
Mailing Address - Fax:650-757-3009
Practice Address - Street 1:1600 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-1206
Practice Address - Country:US
Practice Address - Phone:650-757-3002
Practice Address - Fax:650-757-3009
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist