Organization
SUMMERS PHARMACY OF WARRENSBURG, LLC
Active
Other names
Summers Pharmacy - Long-Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SUMMERS PHARMD (MANAGING MEMBER)
(660) 885-3034
Entity
Organization
Contact information
Practice address
611 BURKARTH RD, WARRENSBURG, MO 64093-1461
(660) 429-0559
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 353-1910
(660) 885-5888
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600068258
—
MO
Enumeration date
08/01/2019
Last updated
10/12/2020
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