Organization
SUMMIT TRADING CO INC
Active
Other names
SUMMIT TRADING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CRUTCHER RPH (PIC)
(253) 840-2098
Entity
Organization
Contact information
Practice address
10409 CANYON RD E, PUYALLUP, WA 98373-4252
(253) 840-2098
(253) 840-0308
Mailing address
10409 CANYON RD E, PUYALLUP, WA 98373-4252
(253) 840-2098
(253) 840-0308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00005161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924266
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6015192
—
WA
Enumeration date
05/24/2005
Last updated
10/04/2011
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