| NPI | 1154941870 |
|---|---|
| Doing Business As | SUMMIT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRYAN PAUL VANDER LINDEN Owner 641-204-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-08-19 |