Healthcare Provider Details

I. General information

NPI: 1811323694
Provider Name (Legal Business Name): PATSY N. SWANSON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2013
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 GREEN SPRINGS HWY
HOMEWOOD AL
35209-4906
US

IV. Provider business mailing address

230 GREEN SPRINGS HWY
HOMEWOOD AL
35209-4906
US

V. Phone/Fax

Practice location:
  • Phone: 205-916-0710
  • Fax:
Mailing address:
  • Phone: 205-916-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number7600
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: