Healthcare Provider Details

I. General information

NPI: 1669491056
Provider Name (Legal Business Name): WILLIAM S. SWINDLING PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11985 HERITAGE OAK PL SUITE 100
AUBURN CA
95603-2413
US

IV. Provider business mailing address

13354 THISTLE LOOP
PENN VALLEY CA
95946-9146
US

V. Phone/Fax

Practice location:
  • Phone: 530-886-1388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number48084
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number48084
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: