# SUMMERFORD DRUGS, INC.

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

## Provider details

- **NPI number:** 1760463079
- **Authorized official:** RYAN ANTHONY SUMMERFORD (TREASURER)
- **Authorized official phone:** (256) 784-5275

## Contact information

- **Practice address:** 4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
- **Practice address phone:** (256) 784-5275
- **Practice address fax:** (256) 784-5852
- **Mailing address:** 4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
- **Mailing address phone:** (256) 784-5275
- **Mailing address fax:** (256) 784-5852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 139865 | AL | — |
| 3336I0012X | Institutional Pharmacy | 180168 | AL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 05/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100002479 | — | AL |