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SUNG SOHN NPI 1780903286


NPI Information

NPI: 1780903286
Provider Name: SUNG SOHN

Doing Business As: ECOTERRA HOILISTIC PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1 N INDIAN HILL BLVD STE 101
CLAREMONT, CA
ZIP 91711
Phone: (909) 624-8580
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SUNG SOHN is a compounding pharmacy pharmacy in Claremont, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. SUNG SOHN NPI is 1780903286. The provider is registered as an organization entity type.
The provider Is Doing Business As Ecoterra Hoilistic Pharmacy.

The provider's business location address is:

1 N INDIAN HILL BLVD STE 101
CLAREMONT, CA
ZIP 91711-769
Phone: (909) 624-8580
Fax: (909) 624-8615

The provider's authorized official is Myra Sohn .
The authorized official title is Owner Pharmacist and has the following contact phone number (909) 624-8580.

The enumeration date for this NPI number is 5/24/2010 and was last updated on 11/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyPHY48921CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15637941OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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