Mat Enterprises LLC

Long Term Care Pharmacy · Holts Summit, MO

Organization Active NPI

NPI number 1154190957

Practice location

140 Northstar Dr
Holts Summit, MO 65043-1123
Phone
(573) 826-4151
Fax
(573) 826-4153

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NPI record

NPI
1154190957
Entity type
Organization (Type 2)
Enumeration date
December 21, 2023
Last updated
December 21, 2023
Certified
December 21, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Long Term Care Pharmacy Primary 3336L0003X — —

Authorized official

Name
Anthony Desha
Title
Owner
Phone
(573) 826-4151

Other names

  • Summit Pharmacy

About Mat Enterprises LLC

Mat Enterprises LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Long Term Care Pharmacy (code 3336L0003X). The practice location is 140 Northstar Dr, Holts Summit, MO 65043-1123. The NPI number 1154190957 was assigned on December 21, 2023 and the record was last updated on December 21, 2023.

The authorized official for this organization is Anthony Desha, Owner.

Frequently asked questions

What is the NPI number of Mat Enterprises LLC?

The NPI number is 1154190957.

What is the phone number of Mat Enterprises LLC?

The phone number listed for the practice location is (573) 826-4151.

Where is Mat Enterprises LLC located?

140 Northstar Dr, Holts Summit, MO 65043-1123.

What is the taxonomy code for Mat Enterprises LLC?

The primary taxonomy code is 3336L0003X – Long Term Care Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.