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General NPI Number Information
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NPI Number | 1497740435
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Entity Type | Organization
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Legal Business Name | SUMMIT HEALTH PHARMACY, LLC
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3400 EDGMONT AVE
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City | BROOKHAVEN
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State | PA
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Zip | 19015
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Country | US
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Telephone | 610-872-5418
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Fax | 610-872-1969
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Provider Business Mailing Address
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Address Line | 3400 EDGMONT AVE
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City | BROOKHAVEN
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State | PA
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Zip | 19015
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Country | US
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Telephone | 610-872-5418
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Fax | 610-872-1969
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Authorized Official
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Title or Position | VP/SECRETARY/MANAGER
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Name | AUSTIN CHRISTOPHER MURPHY
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Credential |
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Telephone | 305-808-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP412241L
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License Number State | PA
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