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NPI Code Detail

MEDICARE: SUMMER WILLIAMS KERLEY PHARMD

MEDICARE:   SUMMER WILLIAMS KERLEY  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15492NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164673703
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER WILLIAMS KERLEY PHARMD
Provider Business Mailing Address
First Line : 2012 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-2134
Country : US
Telephone Number : 336-882-0039
Fax Number :
Provider Business Practice Location Address
First Line : 2012 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-2134
Country : US
Telephone Number : 336-882-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 08/08/2013

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Directions to “ SUMMER WILLIAMS KERLEY PHARMD” Practice Location

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