Healthcare Provider Details

I. General information

NPI: 1669307666
Provider Name (Legal Business Name): SU WIN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 WELCH RD
PALO ALTO CA
94304-1614
US

IV. Provider business mailing address

1080 DUNFORD WAY
SUNNYVALE CA
94087-3716
US

V. Phone/Fax

Practice location:
  • Phone: 650-497-8776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number73399
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: