Healthcare Provider Details

I. General information

NPI: 1497740435
Provider Name (Legal Business Name): SUMMIT HEALTH PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 EDGMONT AVE
BROOKHAVEN PA
19015
US

IV. Provider business mailing address

3400 EDGMONT AVE
BROOKHAVEN PA
19015
US

V. Phone/Fax

Practice location:
  • Phone: 610-872-5418
  • Fax: 610-872-1969
Mailing address:
  • Phone: 610-872-5418
  • Fax: 610-872-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP412241L
License Number StatePA

VIII. Authorized Official

Name: AUSTIN CHRISTOPHER MURPHY
Title or Position: VP/SECRETARY/MANAGER
Credential:
Phone: 305-808-9838