Organization
SUMMIT VIEW PHARMACY
Active
Other names
Banner Health
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL FUNK (CEO, BANNER PHARMACY SERVICES)
(602) 747-4197
Entity
Organization
Contact information
Practice address
2001 70TH AVE, STE 104, GREELEY, CO 80634
(970) 392-2020
(970) 395-2565
Mailing address
2001 70TH AVE, STE 104, GREELEY, CO 80634
(970) 392-2020
(970) 395-2565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
501
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10087222
—
CO
Enumeration date
10/03/2006
Last updated
07/28/2023
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