# SUMMERVILLE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUMMERVILLE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497791305
- **Authorized official:** ROB WOODS (PRESIDENT)
- **Authorized official phone:** (706) 481-7140

## Contact information

- **Practice address:** 2839 CENTRAL AVE, AUGUSTA, GA 30909-3904
- **Practice address phone:** (706) 481-7140
- **Practice address fax:** (706) 733-7301
- **Mailing address:** PO BOX 2986, AUGUSTA, GA 30914-2986
- **Mailing address phone:** (706) 481-7140
- **Mailing address fax:** (706) 733-7301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE004193 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 07/08/2015