Organization
SUMMIT EXPRESS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY BIGNER (PHARMACIST)
(601) 465-0500
Entity
Organization
Contact information
Practice address
105 S LAUREL ST, SUMMIT, MS 39666
(601) 465-0500
Mailing address
PO BOX 1310, SUMMIT, MS 39666-1301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04922559
—
MS
Enumeration date
01/29/2018
Last updated
08/11/2022
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