Mat Enterprises LLC

Pharmacy · Holts Summit, MO

Organization Active NPI

NPI number 1972212496

Practice location

140 Northstar Dr
Holts Summit, MO 65043-1123
Phone
(573) 690-0030

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NPI record

NPI
1972212496
Entity type
Organization (Type 2)
Enumeration date
November 23, 2022
Last updated
November 23, 2022
Certified
November 23, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —

Authorized official

Name
Mr. Anthonjy Desha
Title
Owner
Phone
(573) 690-0030

Other names

  • Summit Pharmacy

About Mat Enterprises LLC

Mat Enterprises LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 140 Northstar Dr, Holts Summit, MO 65043-1123. The NPI number 1972212496 was assigned on November 23, 2022 and the record was last updated on November 23, 2022.

The authorized official for this organization is Mr. Anthonjy Desha, Owner.

Frequently asked questions

What is the NPI number of Mat Enterprises LLC?

The NPI number is 1972212496.

What is the phone number of Mat Enterprises LLC?

The phone number listed for the practice location is (573) 690-0030.

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 333600000X – 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.