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NPI Code Detail

MEDICARE: SUMMIT PHARMACY & SURGICAL SUPPLY LLC

MEDICARE: SUMMIT PHARMACY & SURGICAL SUPPLY 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
1332BC3200XCustomized Equipment (DME)
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail Pharmacy13078NC

General Provider Information

NPI Number : 1649720483
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT PHARMACY & SURGICAL SUPPLY LLC
Provider Business Mailing Address
First Line : 930 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-7918
Country : US
Telephone Number : 336-455-1263
Fax Number :
Provider Business Practice Location Address
First Line : 930 SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-7918
Country : US
Telephone Number : 336-455-1263
Fax Number :
Authorized Official
Title or Position : PIC
Name : VISHAL PATEL
Credential :
Telephone Number : 336-763-7282
Provider Enumeration Date : 10/05/2016
Last Update Date : 01/16/2026

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Directions to “SUMMIT PHARMACY & SURGICAL SUPPLY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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