Organization
SUMMIT TRADING CO INC
Active
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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