Organization
SUMMIT PHARMACY GROUP LLC
Active
Other names
Summit Healthcare Pharmacy, health care pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SREEDHAR VAJINEPALLI (PRESIDENT)
(201) 333-6968
Entity
Organization
Contact information
Practice address
103 SUMMIT AVE, JERSEY CITY, NJ 07304-3021
(201) 333-6968
(201) 333-6883
Mailing address
103 SUMMIT AVE, JERSEY CITY, NJ 07304-3021
(201) 333-6968
(201) 333-6883
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00655700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159772
PK
—
Enumeration date
01/26/2007
Last updated
01/21/2022
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