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Organization

STAL PARTNERS LLC

Active
Other names
Sumner Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHENIE RAGAN (PARTNER)
(478) 864-2217
Entity
Organization

Contact information

Practice address
8691 N MARCUS ST, WRIGHTSVILLE, GA 31096-2025
(478) 864-2217
(478) 864-1985
Mailing address
PO BOX 488, WRIGHTSVILLE, GA 31096-0488
(478) 864-2217
(478) 864-1985

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010131
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000036506A
GA
01
2152628
PK
Enumeration date
04/18/2006
Last updated
09/19/2025
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