# SUMMERS PHARMACY 12 INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUMMERS PHARMACY ENTERPRISES CORP
- **Other names:** Summers Pharmacy Compounding
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225622152
- **Legal business name:** SUMMERS PHARMACY ENTERPRISES CORP
- **Authorized official:** RYAN SUMMERS (OWNER)
- **Authorized official phone:** (816) 339-9880

## Contact information

- **Practice address:** 2422 S 7 HWY, BLUE SPRINGS, MO 64014-4565
- **Practice address phone:** (816) 339-9880
- **Practice address fax:** (816) 339-9881
- **Mailing address:** 605 PAWNEE ST, CLINTON, MO 64735-2757
- **Mailing address phone:** (660) 383-1910
- **Mailing address fax:** (660) 885-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336C0004X | Compounding Pharmacy | — | — | — |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 02/22/2021