Summers Pharmacy 13 Inc

NPI Registration Record

Provider / Organization	NPI	Date Certified
SUMMERS PHARMACY 13 INC	1417614702	2021-11-21

The organization Summers Pharmacy 13 Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1417614702. Registration indicates Summers Pharmacy 13 Inc is a provider of access to pharmacies services with a specialization in Suppliers, Pharmacy (Suppliers, Pharmacy) (Pharmacy: Community/Retail Pharmacy, ) (Pharmacy/DME, ) (Pharmacy Community/Retail Pharmacy, Suppliers) (Pharmacy, )

Entity Type	Organization
Provider Organization	SUMMERS PHARMACY 13 INC
Practice Office Address	3400 W BROADWAY BLVD STE A SEDALIA, MO US
Practice Office Telephone	6608510717
Practice Office Fax	6603103170
Mailing Address	605 PAWNEE ST CLINTON, MO 647352757 US
Business Telephone	6608510717
Business Fax	6603103170
Authorized Official	RYAN SUMMERS, PRESIDENT 6603510602

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