| NPI | 1467102863 |
|---|---|
| Doing Business As | SUMMERS PHARMACY 13-LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | RYAN KENT SUMMERS Managing Member 660-885-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |