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NPI Code Detail

MEDICARE: SUMMER ANN KEENER PHARMD

MEDICARE: SUMMER ANN KEENER PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist022485KY
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist53207TX

General Provider Information

NPI Number : 1821728999
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER ANN KEENER PHARMD
Provider Business Mailing Address
First Line : 1004 S OLD TEMPLE RD
Second Line :
City : LORENA
State : TX
Zip : 76655-3517
Country : US
Telephone Number : 254-301-8874
Fax Number :
Provider Business Practice Location Address
First Line : 3600 S LOOP 340
Second Line :
City : ROBINSON
State : TX
Zip : 76706-4828
Country : US
Telephone Number : 254-523-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 07/16/2022

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