Provider Demographics
NPI:1467582270
Name:SUMMERTON DRUGS INC
Entity Type:Organization
Organization Name:SUMMERTON DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-485-8725
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:SUMMERTON
Mailing Address - State:SC
Mailing Address - Zip Code:29148-0037
Mailing Address - Country:US
Mailing Address - Phone:803-485-8725
Mailing Address - Fax:803-485-4306
Practice Address - Street 1:115 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SUMMERTON
Practice Address - State:SC
Practice Address - Zip Code:29148
Practice Address - Country:US
Practice Address - Phone:803-485-8725
Practice Address - Fax:803-485-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4209917OtherNCPDP
SC50008933OtherPHARMACY PERMIT
SC50008933OtherPHARMACY PERMIT