Provider Demographics
NPI:1326448796
Name:SUN, DONNA KE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:KE
Last Name:SUN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:TON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6340 COMMERCE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROHNERT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94928-2404
Mailing Address - Country:US
Mailing Address - Phone:707-585-5980
Mailing Address - Fax:
Practice Address - Street 1:6340 COMMERCE BLVD
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2404
Practice Address - Country:US
Practice Address - Phone:707-585-5980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist