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General NPI Number Information
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NPI Number | 1558580241
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Entity Type | Organization
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Legal Business Name | SUMMIT PHARMACY INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2320 WEST PEORIA AVE SUITE D132
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City | PHOENIX
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State | AZ
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Zip | 85029-4768
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Country | US
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Telephone | 602-678-5400
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Fax | 602-678-5401
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Provider Business Mailing Address
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Address Line | 2320 WEST PEORIA AVE SUITE D132
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City | PHOENIX
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State | AZ
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Zip | 85029-4768
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Country | US
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Telephone | 602-678-5400
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Fax | 602-678-5401
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DR. STEPHEN ALAN PERSONS
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Credential | PHARMD
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Telephone | 877-678-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 4076
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 4076
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License Number State | AZ
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