Healthcare Provider Details

I. General information

NPI: 1407925498
Provider Name (Legal Business Name): TODD WAYNE SCHWINDT BS.PHARM, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SHAW AVE
CLOVIS CA
93612-3900
US

IV. Provider business mailing address

2548 CELESTE AVE
CLOVIS CA
93611-6277
US

V. Phone/Fax

Practice location:
  • Phone: 559-297-5697
  • Fax: 559-297-5697
Mailing address:
  • Phone: 559-322-8478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number46877
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number46877
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License NumberS10128
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number43172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: