Summers Pharmacy Of Nevada Llc

LBN: Summers Pharmacy Of Nevada Llc
Summers Pharmacy Of Nevada Llc is an health care organization with primary practice located at 900 S Adams St , Nevada MO 64772-3210. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Summers Pharmacy Of Nevada Llc can be contacted via phone (417) 667-6044, or through Summers, Ryan via phone (660) 885-3034.

Contact Information

Primary practice address
900 S Adams St Nevada MO 64772-3210
Phone: (417) 667-6044
Fax: (417) 667-0544
Website:
Map and Directions
Authorized official contact:
Name: Summers, Ryan
Phone: (660) 885-3034

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2016010547 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013081090
LBN Legal business name Summers Pharmacy Of Nevada Llc
DBA Doing business as
Authorized official Summers, Ryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 10th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013081090 NPPES
Missouri MEDICAID 600447304
Missouri Other 2159366

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