Organization
SUMMIT PHARMACY GROUP LLC
Active
Other names
GARFIELD HEALTHCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SREEDHAR VAJINEPALLI (MANAGING MEMBER)
(201) 284-8367
Entity
Organization
Contact information
Practice address
935 GARFIELD AVENUE, JERSEY CITY, NJ 07304
(201) 434-6968
(201) 434-5464
Mailing address
935 GARFIELD AVENUE, JERSEY CITY, NJ 07304
(201) 434-6968
(201) 434-5464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
28RS00718700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133957
PK
—
Enumeration date
03/08/2012
Last updated
12/03/2021
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