Provider Demographics
NPI:1407163298
Name:LIN, SUN CHIANG (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SUN CHIANG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
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 1:4306 LAKESIDE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1688
Mailing Address - Country:US
Mailing Address - Phone:281-261-7368
Mailing Address - Fax:
Practice Address - Street 1:4306 LAKESIDE MEADOW DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1688
Practice Address - Country:US
Practice Address - Phone:281-261-7368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist