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Cynthia Lynn Summers, Pharmacist

Pharmacist in Fort Campbell, KY. Individual provider (NPI-1).

NPI number1174155402
StatusActive
Last updated in NPPESFeb 5, 2020

Details

NPI
1174155402
Entity type
Individual (NPI-1)
Name
Cynthia Lynn Summers
Credential
Pharmacist
Sex
Female
Sole proprietor
No
Enumeration date
Feb 5, 2020
Certification date
Feb 5, 2020
Last updated
Feb 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist4868TNYes

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone 270-798-9231

Mailing address

410 Savannah Trace Dr
Clarksville, TN 37043-5442

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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