# SUMRALLS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sumralls Pharmacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801050018
- **Authorized official:** LELAND SUMRALL PHARM.D. (PHARMACIST)
- **Authorized official phone:** (985) 848-7972

## Contact information

- **Practice address:** 30304 HIGHWAY 21, ANGIE, LA 70426-4264
- **Practice address phone:** (985) 986-4433
- **Practice address fax:** (985) 986-4900
- **Mailing address:** 30304 HIGHWAY 21, ANGIE, LA 70426-4264
- **Mailing address phone:** (985) 986-4433
- **Mailing address fax:** (985) 986-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY006037IR | LA | Yes |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 02/20/2017