Organization
SUMMERS PHARMACY
Active
Parent organization
SUMMERS PHARMACY ENTERPRISES, CORP
Other names
Summers Pharmacy #3
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERS PHARMACY ENTERPRISES, CORP
Authorized official
DR. RYAN SUMMERS PHARMD (PRESIDENT/PHARMACIST)
(660) 885-3034
Entity
Organization
Contact information
Practice address
913 W FORT SCOTT STREET, BUTLER, MO 64730-2007
(660) 679-5002
(660) 679-5003
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
2015016766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600022539
—
MO
Enumeration date
06/03/2015
Last updated
11/02/2020
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