NPI 1023496056

Andrew Wade Sun, PHARMD

Practitioner Pharmacist Gallup, NM

Practice location

Address: 900 Boardman Dr APT C 18, Gallup, NM 87301-4774
Phone: (858) 204-4738
Mailing address: 900 Boardman Dr APT C18, Gallup, NM 87301-4774

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RP00008351 (NM)

Other Pharmacist providers in New Mexico →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 56250 (TX)

Registry record

NPI: 1023496056
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2015
Record last updated: 11 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.