MEDICARE: SUMMIT HEALTH PHARMACY, LLC

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
1	333600000X	Pharmacy	PP412241L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	PP412241L	OTHER	PA	COMMONWEALTH OF PA

General Provider Information

NPI Number	:	1497740435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT HEALTH PHARMACY, LLC

Provider Business Mailing Address
First Line	:	3400 EDGMONT AVE
Second Line	:
City	:	BROOKHAVEN
State	:	PA
Zip	:	19015
Country	:	US
Telephone Number	:	610-872-5418
Fax Number	:	610-872-1969

Provider Business Practice Location Address
First Line	:	3400 EDGMONT AVE
Second Line	:
City	:	BROOKHAVEN
State	:	PA
Zip	:	19015
Country	:	US
Telephone Number	:	610-872-5418
Fax Number	:	610-872-1969

Authorized Official
Title or Position	:	VP/SECRETARY/MANAGER
Name	:	AUSTIN CHRISTOPHER MURPHY
Credential	:
Telephone Number	:	305-808-9838

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	01/16/2025

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Directions to “SUMMIT HEALTH PHARMACY, LLC ” Practice Location

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