Provider Demographics
NPI:1124595343
Name:SUN HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:SUN HEALTH SYSTEMS LLC
Other - Org Name:BRAVO PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-553-2501
Mailing Address - Street 1:3158 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4514
Mailing Address - Country:US
Mailing Address - Phone:617-553-2501
Mailing Address - Fax:
Practice Address - Street 1:3158 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-4514
Practice Address - Country:US
Practice Address - Phone:617-553-2501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy