NPI | 1538056502 |
---|---|
Doing Business As | SUMMIT PHARMACY |
Entity Type | Organization |
Authorized Contact | VICTOR WOODBURY ORNE Owner 319-461-0477 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2025-06-21 |
Last Update Date | 2025-08-18 |