Summers Pharmacy of Slater, LLC
Organization Active NPI Community/Retail Pharmacy · Slater, MO
NPI 1053953109 · NPPES record last updated Mar 1, 2022
Key facts
- NPI
- 1053953109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- SUMMERS PHARMACY OF SLATER, LLC
- Practice address
- 102 E Maple St
Slater, MO 65349-1539 - Phone
- (660) 529-9908
- Fax
- (660) 529-9918
- NPI assigned
- Oct 10, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- SUMMERS PHARMACY ENTERPRISES, CORP
Authorized official
- Name
- Ryan K Summers, PHARM D
- Title
- President
- Phone
- (660) 885-3034
National Provider Directory
Locations
605 Pawnee St
Clinton, MO 64735
Phone (660) 383-1910
102 E Maple St
Slater, MO 65349
Phone (660) 529-9908
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
102 E Maple St
Slater, MO 65349-1539
Mailing address
605 Pawnee St
Clinton, MO 64735-2757
Phone (660) 383-1910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600078489 | Medicaid | MO |
Other providers in Slater, MO
- Matthew William Oxford
- Renowned Chiropractic LLC
- Slater Ambulance District
- Slater Public School
- State of Missouri
- George Philip Wymore
All providers in Slater, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.