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Organization

SUMMERS PHARMACY OF MARSHALL, LLC

Active
Parent organization
SUMMERS PHARMACY OF WARRENSBURG, LLC
Other names
Summers Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMERS PHARMACY OF WARRENSBURG, LLC
Authorized official
RYAN KENT SUMMERS PHARM D (MANAGING MEMBER)
(660) 885-3034
Entity
Organization

Contact information

Practice address
895 W COLLEGE ST, MARSHALL, MO 65340-2912
(660) 831-5220
(660) 530-4522
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 383-1910
(660) 885-5888

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600068258
MO
Enumeration date
02/11/2019
Last updated
01/17/2022
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