Healthcare Provider Details

I. General information

NPI: 1205833357
Provider Name (Legal Business Name): ALYSON R SCHWARTZ PHARM.D., RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W STEPHEN FOSTER AVE
BARDSTOWN KY
40004-1472
US

IV. Provider business mailing address

202 W STEPHEN FOSTER AVE
BARDSTOWN KY
40004-1472
US

V. Phone/Fax

Practice location:
  • Phone: 502-348-6623
  • Fax: 502-348-7704
Mailing address:
  • Phone: 502-348-6623
  • Fax: 502-348-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012028
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: