Healthcare Provider Details

I. General information

NPI: 1093342404
Provider Name (Legal Business Name): ABIGAIL ROSE LEWIS SWEAT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 GLENWOOD AVE SE
ATLANTA GA
30316-1814
US

IV. Provider business mailing address

800 GLENWOOD AVE SE
ATLANTA GA
30316-1814
US

V. Phone/Fax

Practice location:
  • Phone: 470-447-5040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH031426
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: