Provider / Organization | NPI | Date Certified |
---|---|---|
JONAH SU | 1316553894 | 2020-09-19 |
Jonah Su is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316553894. Registration indicates Jonah Su is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Jonah Su |
Practice Office Address | 1433 N HOLLENBECK AVE STE 103 COVINA, CA US |
Practice Office Telephone | 6262511640 |
Mailing Address | 1433 N HOLLENBECK AVE STE 103 COVINA, CA 917221558 US |
Business Telephone | 6262511640 |
Address | City / State | Phone / Fax |
---|---|---|
2260 University Dr | Newport Beach, CA 926603319 | 8773745162 |
Direct Messaging Address [] | [email protected] |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 83118
CA |