Healthcare Provider Details
I. General information
NPI: 1467457473
Provider Name (Legal Business Name): PAMELA M. SCHWEITZER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2005
Last Update Date: 01/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7500 SECURITY BLVD
BALTIMORE MD
21244-1849
US
IV. Provider business mailing address
18714 E VIA DEL RANCHO
QUEEN CREEK AZ
85142-4070
US
V. Phone/Fax
- Phone: 410-786-2832
- Fax:
- Phone: 480-285-8072
- Fax: 866-648-5324
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P1200X |
| Taxonomy | Pharmacotherapy Pharmacist |
| License Number | 41352 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | 41352 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: