Organization
SUMNER PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ROBERT KENNEDY RPH (PRESIDENT)
(563) 578-5142
Entity
Organization
Contact information
Practice address
100 E 1ST ST, SUMNER, IA 50674-1430
(563) 578-5142
(563) 578-5190
Mailing address
100 E 1ST ST, PO BOX 205, SUMNER, IA 50674-1430
(563) 578-5142
(563) 578-5190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
43
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125351
—
IA
Enumeration date
12/28/2006
Last updated
04/14/2008
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