Healthcare Provider Details

I. General information

NPI: 1588448740
Provider Name (Legal Business Name): SUMMER AL NABALY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 OHIOHEALTH PKWY
COLUMBUS OH
43202-1575
US

IV. Provider business mailing address

3430 OHIOHEALTH PKWY
COLUMBUS OH
43202-1575
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-4458
  • Fax:
Mailing address:
  • Phone: 614-788-4458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03443578
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: