Healthcare Provider Details

I. General information

NPI: 1215136023
Provider Name (Legal Business Name): KAMARIA DAWN SWAFFORD PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 COUNTRY ESTATES CIR
RENO NV
89511-1026
US

IV. Provider business mailing address

841 COUNTRY ESTATES CIR
RENO NV
89511-1026
US

V. Phone/Fax

Practice location:
  • Phone: 775-338-0210
  • Fax:
Mailing address:
  • Phone: 775-338-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17149
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17149
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: