Organization
SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP
Active
Other names
COLE CAMP PHARMACY, Cole Camp Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SUMMERS (OWNER)
(660) 383-1910
Entity
Organization
Contact information
Practice address
512 W MAIN ST, COLE CAMP, MO 65325-1018
(660) 668-4646
(660) 668-4633
Mailing address
605 PAWNEE ST, CLINTON, MO 64735-2757
(660) 383-1910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
603807603
—
MO
Enumeration date
07/30/2006
Last updated
07/03/2026
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