Organization
SUMMIT APOTHECARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BERMAN (MEMBER)
(606) 446-8008
Entity
Organization
Contact information
Practice address
1202 E MAIN ST, CUMBERLAND, KY 40823-1720
(606) 446-8008
Mailing address
1202 E MAIN ST, CUMBERLAND, KY 40823-1720
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P08282
PHARMACY LICENSE
KY
Enumeration date
05/31/2023
Last updated
05/31/2023
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