Summit City Pharmacy
LBN: B&B Holdings Llc
Summit City Pharmacy is an health care organization with primary practice located at 1326 N Coliseum Blvd , Fort Wayne IN 46805-5526. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
B&B Holdings Llc can be contacted via phone (260) 739-6069, or through Meriwether, Bryan via phone (260) 633-8333.
Contact Information
Primary practice address
1326 N Coliseum Blvd
Fort Wayne IN 46805-5526
Phone: (260) 739-6069
Fax: (260) 739-6696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60006518A | Indiana |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1306210943 |
|---|---|
| LBN Legal business name | B&B Holdings Llc |
| DBA Doing business as | Summit City Pharmacy |
| Authorized official | Meriwether, Bryan PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2015 |
| Last updated | Dec 1st, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306210943 | NPPES |
| Indiana | MEDICAID | 201332560A | |
| Indiana | Other | 2155463 |
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