Healthcare Provider Details

I. General information

NPI: 1033257464
Provider Name (Legal Business Name): STEVEN ROBERT SWITALA R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 04/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MAGIC MILE ST
ARLINGTON TX
76011-5108
US

IV. Provider business mailing address

3408 ROLLING HILLS LN
GRAPEVINE TX
76051-6852
US

V. Phone/Fax

Practice location:
  • Phone: 817-633-6688
  • Fax: 817-633-6678
Mailing address:
  • Phone: 817-488-5731
  • Fax: 817-633-6678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number28042
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: