Healthcare Provider Details

I. General information

NPI: 1548499296
Provider Name (Legal Business Name): SARAH KATHRYNE SCHWEISS PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 LONDON RD SUITE 101
DULUTH MN
55812-1788
US

IV. Provider business mailing address

1502 LONDON RD SUITE 101
DULUTH MN
55812-1788
US

V. Phone/Fax

Practice location:
  • Phone: 218-733-1110
  • Fax: 218-733-1112
Mailing address:
  • Phone: 218-733-1110
  • Fax: 218-733-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number119706
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: