Organization
SUMRALLS PHARMACY LLC
Active
Other names
Sumralls Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LELAND SUMRALL PHARM.D. (PHARMACIST)
(985) 848-7972
Entity
Organization
Contact information
Practice address
30304 HIGHWAY 21, ANGIE, LA 70426-4264
(985) 986-4433
(985) 986-4900
Mailing address
30304 HIGHWAY 21, ANGIE, LA 70426-4264
(985) 986-4433
(985) 986-4900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY006037IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117212
PK
—
Enumeration date
07/16/2008
Last updated
02/20/2017
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