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Summers Pharmacy No 11 Inc
Long Term Care Pharmacy in Boonville, Missouri
NPI 1619576139

Summers Pharmacy No 11 Inc is a Long Term Care Pharmacy based in Clinton, MO and is specialized in Long Term Care Pharmacy. Summers Pharmacy No 11 Inc practices in Boonville, MO. The NPI Number for Summers Pharmacy No 11 Inc is 1619576139 and holds a License No. (Missouri).

The current practice location address for Summers Pharmacy No 11 Inc is 800 Main St, Boonville, MO and can be reached out via phone at 660-882-5208 and via fax at 660-882-8125.

Location: 800 Main St, Boonville, MO, 64735-2757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619576139
Provider Name
Summers Pharmacy No 11 Inc
Credential
Provider Entity Type
Organization
Address
800 Main St, Boonville, MO, 64735-2757
Phone Number
660-882-5208
Fax Number
660-882-8125
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
institution
Provider Business Practice Location Address Details
Address
800 Main St
City
Boonville
State
Missouri
Zip
65233-1658
Phone Number
660-882-5208
Fax Number
660-882-8125
person
Provider Business Mailing Address Details
Address
800 Main St
City
Boonville
State
Missouri
Zip
65233-1658
Phone Number
660-882-5208
Fax Number
660-882-8125
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
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Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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