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General NPI Number Information
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NPI Number | 1720384779
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Entity Type | Organization
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Legal Business Name | SUMMIT PHARMACY SOLUTIONS LLC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 5111 MARYLAND WAY STE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-7513
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Country | US
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Telephone | 615-221-1155
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Fax | 615-221-1199
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Provider Business Mailing Address
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Address Line | 5111 MARYLAND WAY SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-7513
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Country | US
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Telephone | 615-221-1155
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Fax | 615-221-1199
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Authorized Official
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Title or Position | MEMBER
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Name | CHARLIE BURCHELL
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Credential |
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Telephone | 615-221-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 4840
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License Number State | TN
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