Provider Demographics
NPI:1922355791
Name:REGEL, SUMMER STARTUP (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:STARTUP
Last Name:REGEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 BONNIE LN STE 101
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0536
Mailing Address - Country:US
Mailing Address - Phone:901-757-9434
Mailing Address - Fax:901-757-1194
Practice Address - Street 1:1679 BONNIE LN STE 101
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0536
Practice Address - Country:US
Practice Address - Phone:901-757-9434
Practice Address - Fax:901-757-1194
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist