Provider Demographics
NPI:1922696327
Name:WEILER, SUMMER (PHARMD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:WEILER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 PENNSYLVANIA AVE APT 2407
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-1469
Mailing Address - Country:US
Mailing Address - Phone:712-540-8178
Mailing Address - Fax:
Practice Address - Street 1:2951 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4472
Practice Address - Country:US
Practice Address - Phone:785-271-0764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-105983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist