Organization
SUMMIT CANCER CARE PC
Active
Other names
SUMMIT CANCER CARE
Organization subpart
No
Provider details
NPI number
Authorized official
L ROBERTSON PHARMD (PRES, MD, AO)
(912) 651-5767
Entity
Organization
Contact information
Practice address
836 E 65TH ST STE 4, SAVANNAH, GA 31405-4491
(912) 651-5767
(912) 354-7090
Mailing address
836 E 65TH ST STE 4, SAVANNAH, GA 31405-4491
(912) 354-6187
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009051
GA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00165459A
—
GA
01
—
2015659
PK
—
Enumeration date
03/20/2007
Last updated
04/07/2020
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