# SUMMIT EXPRESS PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720586332
- **Authorized official:** MARTY BIGNER (PHARMACIST)
- **Authorized official phone:** (601) 465-0500

## Contact information

- **Practice address:** 105 S LAUREL ST, SUMMIT, MS 39666
- **Practice address phone:** (601) 465-0500
- **Mailing address:** PO BOX 1310, SUMMIT, MS 39666-1301

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2018
- **Last updated:** 08/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04922559 | — | MS |