Organization
SUMMERS PHARMACY 13 INC
Active
Other names
Summers Pharmacy 13-Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KENT SUMMERS PHARMD (MANAGING MEMBER)
(660) 885-3034
Entity
Organization
Contact information
Practice address
3400 W BROADWAY BLVD STE A, SEDALIA, MO 65301-2131
(660) 383-1910
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 383-1910
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600105307
—
MO
Enumeration date
03/28/2022
Last updated
03/28/2022
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