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NPI Code Detail

MEDICARE: DAVID SCHWIMMER

MEDICARE:   DAVID  SCHWIMMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26015400AIN

General Provider Information

NPI Number : 1861774572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SCHWIMMER
Provider Business Mailing Address
First Line : 407 W GLEN PARK AVE
Second Line :
City : GRIFFITH
State : IN
Zip : 46319-1511
Country : US
Telephone Number : 219-924-2701
Fax Number : 219-924-8691
Provider Business Practice Location Address
First Line : 407 W GLEN PARK AVE
Second Line :
City : GRIFFITH
State : IN
Zip : 46319-1511
Country : US
Telephone Number : 219-924-2701
Fax Number : 219-924-8691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ DAVID SCHWIMMER ” Practice Location

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