Organization
PRAMUKH KRUPA RX LLC
Active
Other names
Summergate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MANANKUMAR PATEL (PHARMACY DEPARTMENT MANAGER)
(813) 667-6100
Entity
Organization
Contact information
Practice address
27432 CASHFORD CIR STE 101, WESLEY CHAPEL, FL 33544-6916
(813) 667-6100
(813) 667-6200
Mailing address
27432 CASHFORD CIR STE 101, WESLEY CHAPEL, FL 33544-6916
(813) 667-6100
(813) 667-6200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006306100
—
FL
01
—
5711292
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/02/2012
Last updated
04/09/2025
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