Healthcare Provider Details

I. General information

NPI: 1770573677
Provider Name (Legal Business Name): SUMMIT VIEW PHARMACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10703 DUTCHTOWN ROAD
KNOXVILLE TN
37932
US

IV. Provider business mailing address

10703 DUTCHTOWN ROAD
KNOXVILLE TN
37932
US

V. Phone/Fax

Practice location:
  • Phone: 865-966-7496
  • Fax: 865-675-0412
Mailing address:
  • Phone: 865-966-7496
  • Fax: 865-675-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number00001429
License Number StateTN

VIII. Authorized Official

Name: DR. JOAN MARIE KYLE
Title or Position: DIRECTOR OF PHARMACY/PIC
Credential: PHARMD.
Phone: 865-966-7496