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Organization
SUMMIT PHARMACY SOLUTIONS LLC
Active
Organization
SUMMIT PHARMACY SOLUTIONS LLC
Active
Other names
Summit Pharmacy Solutions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE BURCHELL (MEMBER)
(615) 221-1155
Entity
Organization
Contact information
Practice address
5111 MARYLAND WAY STE 201, BRENTWOOD, TN 37027-7513
(615) 221-1155
(615) 221-1199
Mailing address
5111 MARYLAND WAY, SUITE 201, BRENTWOOD, TN 37027-7513
(615) 221-1155
(615) 221-1199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4840
TN
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4444092
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/08/2011
Last updated
02/08/2011
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