Organization
SUMMERS PHARMACY
Active
Parent organization
SUMMERS PHARMACY ENTERPRISES, CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERS PHARMACY ENTERPRISES, CORP
Authorized official
DR. RYAN SUMMERS PHARMD (PHARMACIST/OWNER)
(660) 885-3034
Entity
Organization
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-3147
(660) 885-3149
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 885-3034
(660) 885-5888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2013014245
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600005469
—
MO
Enumeration date
05/23/2013
Last updated
01/22/2021
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