Organization
SUMMIT MEDICAL PHARMACY INC
Active
Other names
SUMMIT MEDICAL PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ BHALAKIA RPH (PRESIDENT)
(630) 985-8060
Entity
Organization
Contact information
Practice address
6252 S ARCHER RD, SUMMIT, IL 60501-1720
(708) 728-0638
(708) 728-9013
Mailing address
6252 S ARCHER RD, SUMMIT, IL 60501-1720
(708) 728-0638
(708) 728-9013
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.015774
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021905
PK
—
Enumeration date
07/30/2006
Last updated
12/05/2016
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