Organization
SUMMERS PHARMACY 12 INC
Active
Parent organization
SUMMERS PHARMACY ENTERPRISES CORP
Other names
Summers Pharmacy Compounding
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERS PHARMACY ENTERPRISES CORP
Authorized official
RYAN SUMMERS (OWNER)
(816) 339-9880
Entity
Organization
Contact information
Practice address
2422 S 7 HWY, BLUE SPRINGS, MO 64014-4565
(816) 339-9880
(816) 339-9881
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 383-1910
(660) 885-5888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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