Sunnyside Pharmacy

LBN: Fox Drug Store Inc
Sunnyside Pharmacy is an health care organization with primary practice located at 1939 High St , Selma CA 93662-3510. The organization recently has 7 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nutrition Support, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Fox Drug Store Inc can be contacted via phone (559) 896-1645, or through Jung, Lunny Ronnie via phone (559) 896-1645.

Contact Information

Primary practice address
1939 High St Selma CA 93662-3510
Phone: (559) 896-1645
Fax: (559) 896-3266
Website:
Map and Directions
Authorized official contact:
Name: Jung, Lunny Ronnie PHARM D.
Phone: (559) 896-1645

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 27764 California
Pharmacy Service Providers / Nutrition Support 1835N1003X 27764 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY43450 California
Suppliers / Customized Equipment 332BC3200X PHY43450 California
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHY43450 California
Suppliers / Pharmacy 333600000X PHY43450 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427041185
LBN Legal business name Fox Drug Store Inc
DBA Doing business as Sunnyside Pharmacy
Authorized official Jung, Lunny Ronnie PHARM D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2005
Last updated Nov 6th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427041185 NPPES
California MEDICAID PHY43450

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