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General NPI Number Information
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NPI Number | 1255235552
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Entity Type | Organization
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Legal Business Name | SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 512 W MAIN ST
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City | COLE CAMP
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State | MO
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Zip | 65325-1018
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Country | US
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Telephone | 660-668-4646
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Fax | 660-668-4633
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Provider Business Mailing Address
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Address Line | 605 PAWNEE ST
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City | CLINTON
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State | MO
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Zip | 64735-2757
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Country | US
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Telephone | 660-383-1910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN KENT SUMMERS
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Credential |
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Telephone | 660-383-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | NULL
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