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NPI Code Detail

MEDICARE: DR. YUAN SUN PHARMD

MEDICARE:  DR. YUAN  SUN  PHARMD
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
1183500000XPharmacist6790169-1701UT

General Provider Information

NPI Number : 1144170036
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YUAN SUN PHARMD
Provider Business Mailing Address
First Line : 1455 W 2200 S STE 300
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84119-7219
Country : US
Telephone Number : 801-412-6920
Fax Number : 877-497-4661
Provider Business Practice Location Address
First Line : 220 W 7200 S STE A
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1053
Country : US
Telephone Number : 801-566-5494
Fax Number : 801-206-3368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “ DR. YUAN SUN PHARMD” Practice Location

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