Healthcare Provider Details

I. General information

NPI: 1255932612
Provider Name (Legal Business Name): AMY JOY SWEARINGEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 N HIGHWAY 7
HOT SPRINGS VILLAGE AR
71909-9607
US

IV. Provider business mailing address

107 DINO ST
HOT SPRINGS AR
71901-7278
US

V. Phone/Fax

Practice location:
  • Phone: 501-318-0902
  • Fax:
Mailing address:
  • Phone: 501-655-5948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD13861
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: