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1255235552 NPI number — SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP

NPI Number: 1255235552
Health Care Provider/Practitioner: SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP

Information about “1255235552” NPI (SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP) exists in 1255235552 in HTML format HTML  |  1255235552 in plain Text format TXT  |  1255235552 in PDF (Portable Document Format) PDF  |  1255235552 in an XML format XML  formats.

NPI Number : 1255235552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255235552",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "605 PAWNEE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "64735-2757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "660-383-1910",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "512 W MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLE CAMP",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65325-1018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "660-668-4646",
    "PracticeLocationAddressFaxNumber": "660-668-4633",
    "EnumerationDate": "10/08/2026",
    "LastUpdateDate": "10/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SUMMERS",
    "AuthorizedOfficialFirstName": "RYAN",
    "AuthorizedOfficialMiddleName": "KENT",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "660-383-1910",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336L0003X",
        "TaxonomyName": "Long Term Care Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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