Provider Demographics
NPI:1285887224
Name:SUMNER, SHAOPING MO (PHARM D)
Entity type:Individual
Prefix:
First Name:SHAOPING
Middle Name:MO
Last Name:SUMNER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:SHAOPING
Other - Middle Name:
Other - Last Name:MO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PSC 76 BOX 5463
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96319-0055
Mailing Address - Country:US
Mailing Address - Phone:315-226-6607
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 99
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:NJ
Practice Address - Zip Code:96319
Practice Address - Country:US
Practice Address - Phone:315-226-6607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIN02328390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program