# SUMMA PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356326045
- **Authorized official:** MR. JOHN DOUGLAS SUMMA RPH (OWNER/CHIEF PHARMACIST)
- **Authorized official phone:** (660) 736-4621

## Contact information

- **Practice address:** 509 MAIN ST, TARKIO, MO 64491-1546
- **Practice address phone:** (660) 736-4621
- **Practice address fax:** (660) 736-5342
- **Mailing address:** 509 MAIN ST, TARKIO, MO 64491-1546
- **Mailing address phone:** (660) 736-4621
- **Mailing address fax:** (660) 736-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 029775 | MO | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 08/22/2020
