Organization
SUMMIT RX, LLC
Active
Other names
SummitRx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CARACCI (OWNER)
(816) 506-2587
Entity
Organization
Contact information
Practice address
1405 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4609
(816) 524-8444
(816) 246-5493
Mailing address
1405 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4609
(816) 524-8444
(816) 246-5493
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2003028359
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2621274
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
602046406
—
MO
Enumeration date
11/15/2006
Last updated
08/01/2024
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