Organization
MAT ENTERPRISES LLC
Active
Other names
Summit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DESHA (OWNER)
(573) 826-4151
Entity
Organization
Contact information
Practice address
140 NORTHSTAR DR, HOLTS SUMMIT, MO 65043-1123
(573) 826-4151
(573) 826-4153
Mailing address
140 NORTHSTAR DR, HOLTS SUMMIT, MO 65043-1123
(573) 826-4151
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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