Organization
MAT ENTERPRISES LLC
Active
Other names
Summit Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONJY DESHA (OWNER)
(573) 690-0030
Entity
Organization
Contact information
Practice address
140 NORTHSTAR DR, HOLTS SUMMIT, MO 65043-1123
(573) 690-0030
Mailing address
140 NORTHSTAR DR, HOLTS SUMMIT, MO 65043-1123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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