Healthcare Provider Details

I. General information

NPI: 1386778090
Provider Name (Legal Business Name): JAMES A SWINARSKI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 02/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 HOWARD AVE
SAINT PAUL NE
68873-2023
US

IV. Provider business mailing address

624 HOWARD AVE
SAINT PAUL NE
68873-2023
US

V. Phone/Fax

Practice location:
  • Phone: 308-754-4724
  • Fax: 308-754-5933
Mailing address:
  • Phone: 308-754-4724
  • Fax: 308-754-5933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1003
License Number StateNE

VIII. Authorized Official

Name: JAMES SWINARSKI
Title or Position: OWNER AND PHARMACIST
Credential: RP
Phone: 308-754-4570