Organization
SUMPTER PHARMACY INC
Active
Other names
SUMPTER PHARMACY and WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
TONI SUMPTER PHARMACIST (OWNER)
(515) 993-1119
Entity
Organization
Contact information
Practice address
628 NILE KINNICK DR S, STE 1, ADEL, IA 50003-2071
(515) 993-1119
(515) 993-1116
Mailing address
628 NILE KINNICK DR S, STE 1, ADEL, IA 50003-2071
(515) 993-1119
(515) 993-1116
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1196
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278127
—
IA
01
—
2030153
PK
—
Enumeration date
10/03/2006
Last updated
11/16/2016
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