Organization
B&B HOLDINGS LLC
Active
Organization
B&B HOLDINGS LLC
Active
Other names
Summit City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MERIWETHER PHARMD (PHARMACIST)
(260) 633-8333
Entity
Organization
Contact information
Practice address
1326 N COLISEUM BLVD, FORT WAYNE, IN 46805-5526
(260) 739-6069
(260) 739-6696
Mailing address
1326 N COLISEUM BLVD, FORT WAYNE, IN 46805-5526
(260) 739-6069
(260) 739-6696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006518A
IN
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201332560A
—
IN
01
—
2155463
PK
—
Enumeration date
11/19/2015
Last updated
12/01/2016
Update your record
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