Provider Demographics
NPI:1730332180
Name:SUMMERS, JENNIFER H (RPH)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:H
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3630 5TH STREET DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-9614
Mailing Address - Country:US
Mailing Address - Phone:828-327-8086
Mailing Address - Fax:828-397-3477
Practice Address - Street 1:521-A U.S. HWY 70 E
Practice Address - Street 2:
Practice Address - City:HILDEBRAN
Practice Address - State:NC
Practice Address - Zip Code:28637
Practice Address - Country:US
Practice Address - Phone:828-397-3420
Practice Address - Fax:828-397-3477
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist