| NPI | 1700359825 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY - LONG-TERM CARE |
| Entity Type | Organization |
| Authorized Contact | RYAN KENT SUMMERS President/Pharmacist 660-885-3034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-10-12 |