Organization
SUMMERS PHARMACY OF WARRENSBURG, 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 KENT SUMMERS PHARMD (PRESIDENT)
(660) 885-3034
Entity
Organization
Contact information
Practice address
611 BURKARTH RD, WARRENSBURG, MO 64093
(660) 429-0559
(660) 530-6161
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 383-1910
(660) 885-5888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2018030729
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600059693
—
MO
Enumeration date
08/28/2018
Last updated
01/11/2022
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