Healthcare Provider Details

I. General information

NPI: 1699728634
Provider Name (Legal Business Name): SWANS INVESTMENTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 US HIGHWAY 50 W
UNION MO
63084-1941
US

IV. Provider business mailing address

PO BOX 208
UNION MO
63084-0208
US

V. Phone/Fax

Practice location:
  • Phone: 636-583-2646
  • Fax: 636-583-4310
Mailing address:
  • Phone: 636-583-4616
  • Fax: 636-583-4310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4159
License Number StateMO

VIII. Authorized Official

Name: GREGORY SCHUH
Title or Position: PRES/PHARMACIST IN CHRGE
Credential: RPH
Phone: 636-583-2646