Organization
SUMMERFORD DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ANTHONY SUMMERFORD (TREASURER)
(256) 784-5275
Entity
Organization
Contact information
Practice address
4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
(256) 784-5275
(256) 784-5852
Mailing address
4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
(256) 784-5275
(256) 784-5852
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
139865
AL
3336I0012X
Institutional Pharmacy
180168
AL
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002479
—
AL
Enumeration date
11/14/2005
Last updated
05/07/2019
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