# SUMMIT HEALTHPLEX PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUMMIT HEALTHPLEX PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336222520
- **Authorized official:** AMY MATISTIC PHRM (PHRM MANG)
- **Authorized official phone:** (404) 394-3199

## Contact information

- **Practice address:** 1755 HIGHWAY 34 E, STE 1400, NEWNAN, GA 30265-5631
- **Practice address phone:** (770) 252-7500
- **Practice address fax:** (770) 254-3652
- **Mailing address:** 1755 HIGHWAY 34 E, STE 1400, NEWNAN, GA 30265-5631
- **Mailing address phone:** (770) 252-7500
- **Mailing address fax:** (770) 254-3652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8497 | GA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 04/22/2011