Provider Demographics
NPI:1265038103
Name:BROSCO, SUNYOUNG CHO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SUNYOUNG
Middle Name:CHO
Last Name:BROSCO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2424
Mailing Address - Country:US
Mailing Address - Phone:508-543-6646
Mailing Address - Fax:508-698-9027
Practice Address - Street 1:67 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2424
Practice Address - Country:US
Practice Address - Phone:508-543-6646
Practice Address - Fax:508-698-9027
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH280691835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist