Organization
SUMMERS PHARMACY 13 INC
Active
Parent organization
SUMMERS PHARMACY ENTERPRISES, CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERS PHARMACY ENTERPRISES, CORP
Authorized official
RYAN SUMMERS PHARM D (PRESIDENT)
(660) 351-0602
Entity
Organization
Contact information
Practice address
1020 THOMPSON BLVD STE 100, SEDALIA, MO 65301-2243
(660) 851-0717
(660) 310-3170
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 851-0717
(660) 310-3170
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600105307
—
MO
Enumeration date
11/21/2021
Last updated
03/26/2025
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