Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LUONG SUMNER (PHARMACIST)
(916) 548-5071
Entity
Organization
Contact information
Practice address
3661 TRUXEL RD, SACRAMENTO, CA 95834-3617
(916) 928-9673
Mailing address
10505 FOSSIL WAY, ELK GROVE, CA 95757-1670
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
29588
CA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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