Healthcare Provider Details
I. General information
NPI: 1982180584
Provider Name (Legal Business Name): ANDREA LEIGH SWACKHAMMER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/17/2018
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2215 FULLER RD
ANN ARBOR MI
48105-2303
US
IV. Provider business mailing address
41585 BOULDER CREEK DR
CANTON MI
48188-3516
US
V. Phone/Fax
- Phone: 734-769-7100
- Fax:
- Phone: 248-953-4400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 03337231 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P2201X |
| Taxonomy | Ambulatory Care Pharmacist |
| License Number | 03337231 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: