Organization
SUMMERS PHARMACY OF APPLETON CITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA SUMMERS (PRESIDENT)
(660) 383-1910
Entity
Organization
Contact information
Practice address
121 W 4TH ST, APPLETON CITY, MO 64724
(660) 476-2142
(660) 476-5563
Mailing address
605 PAWNEE STREET, CLINTON, MO 64735
(660) 383-1910
(660) 885-5888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5541
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20200012041
BOP
MO
05
—
602280703
—
MO
Enumeration date
07/01/2006
Last updated
05/14/2021
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