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Organization

SUMMERS PHARMACY OF SLATER, LLC

Active
Parent organization
SUMMERS PHARMACY ENTERPRISES, CORP
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMERS PHARMACY ENTERPRISES, CORP
Authorized official
RYAN K SUMMERS PHARM D (PRESIDENT)
(660) 885-3034
Entity
Organization

Contact information

Practice address
102 E MAPLE ST, SLATER, MO 65349-1539
(660) 529-9908
(660) 529-9918
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 383-1910

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600078489
MO
Enumeration date
10/10/2019
Last updated
03/01/2022
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