Provider Demographics
NPI:1578858429
Name:SUN PHARMACY
Entity Type:Organization
Organization Name:SUN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:SUN CHIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-236-4053
Mailing Address - Street 1:7021 HIGHWAY 6 S
Mailing Address - Street 2:7021 HIGHWAY 6 SOUTH
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3305
Mailing Address - Country:US
Mailing Address - Phone:281-568-0628
Mailing Address - Fax:281-568-0614
Practice Address - Street 1:7021 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3305
Practice Address - Country:US
Practice Address - Phone:281-568-0628
Practice Address - Fax:281-568-0614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27483333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27483OtherTEXAS STATE BOARD OF PHARMACY