MEDICARE: SUN PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	27483	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27483	OTHER	TX	TEXAS STATE BOARD OF PHARMACY

General Provider Information

NPI Number	:	1578858429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN PHARMACY

Provider Business Mailing Address
First Line	:	7021 HIGHWAY 6 S
Second Line	:	7021 HIGHWAY 6 SOUTH
City	:	HOUSTON
State	:	TX
Zip	:	77083-3305
Country	:	US
Telephone Number	:	281-568-0628
Fax Number	:	281-568-0614

Provider Business Practice Location Address
First Line	:	7021 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-3305
Country	:	US
Telephone Number	:	281-568-0628
Fax Number	:	281-568-0614

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	DR. SUN CHIANG LIN
Credential	:	R.PH.
Telephone Number	:	281-236-4053

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	08/01/2011

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Directions to “SUN PHARMACY ” Practice Location

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