Organization
SUMMIT PHARMACY SOLUTIONS LLC
Active
Other names
Summit Pharmacy Solutions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE BURCHELL (MEMBER)
(615) 221-1155
Entity
Organization
Contact information
Practice address
5111 MARYLAND WAY STE 201, BRENTWOOD, TN 37027-7513
(615) 221-1155
(615) 221-1199
Mailing address
5111 MARYLAND WAY, SUITE 201, BRENTWOOD, TN 37027-7513
(615) 221-1155
(615) 221-1199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4840
TN
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4444092
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/08/2011
Last updated
02/08/2011
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