MEDICARE: SUMMIT TRADING CO INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	CF00005161	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4924266	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1437152238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT TRADING CO INC

Provider Business Mailing Address
First Line	:	10409 CANYON RD E
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-4252
Country	:	US
Telephone Number	:	253-840-2098
Fax Number	:	253-840-0308

Provider Business Practice Location Address
First Line	:	10409 CANYON RD E
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-4252
Country	:	US
Telephone Number	:	253-840-2098
Fax Number	:	253-840-0308

Authorized Official
Title or Position	:	PIC
Name	:	JENNIFER CRUTCHER
Credential	:	RPH
Telephone Number	:	253-840-2098

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/04/2011

Similar Medicare Providers

1649645771 — MICHAEL JOHN LUCE LMT
Practice Location Address:

8112 112TH STREET CT E
PUYALLUP, WA
98373-7815

Practice Phone: 253-970-8256
Practice Fax: 253-604-4450

1558365296 — EDNORAH M ARVELO PA-C
Practice Location Address:

11025 CANYON RD E , SUITE A
PUYALLUP, WA
98373-4268

Practice Phone: 253-548-0453
Practice Fax: 253-548-3049

1558366708 — DONNA R QUILES CRT
Practice Location Address:

11019 CANYON RD E
PUYALLUP, WA
98373-3001

Practice Phone: 253-536-2972
Practice Fax:

1679578512 — ROBERT M ALSTON M.D.
Practice Location Address:

11019 CANYON RD E , STE A
PUYALLUP, WA
98373-4298

Practice Phone: 253-537-0293
Practice Fax: 253-537-7650

1902801889 — PETER E LOGERFO MD, PLLC
Practice Location Address:

11025 CANYON RD E , SUITE A
PUYALLUP, WA
98373-4264

Practice Phone: 253-548-0453
Practice Fax: 253-268-0500

1295731578 — STEPHEN M. EGGE M.D.
Practice Location Address:

11019 CANYON RD E , STE A
PUYALLUP, WA
98373-4298

Practice Phone: 253-537-0293
Practice Fax: 253-537-7650

Directions to “SUMMIT TRADING CO INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.