Provider Demographics
NPI:1407941107
Name:SUN DRUG PHARMA INC
Entity Type:Organization
Organization Name:SUN DRUG PHARMA INC
Other - Org Name:SUN DRUG CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAPLANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-663-8017
Mailing Address - Street 1:3200 LOS FELIZ BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1509
Mailing Address - Country:US
Mailing Address - Phone:323-663-8017
Mailing Address - Fax:323-663-0770
Practice Address - Street 1:3200 LOS FELIZ BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1509
Practice Address - Country:US
Practice Address - Phone:323-663-8017
Practice Address - Fax:323-663-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59330OtherBOARD OF PHARMACY