MEDICARE: SWIFT DRUGS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336S0011X	Specialty Pharmacy
5	3336C0003X	Community/Retail Pharmacy	25580	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2092565	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104851955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIFT DRUGS INCORPORATED

Provider Business Mailing Address
First Line	:	PO BOX 2297
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78573-0037
Country	:	US
Telephone Number	:	956-584-3458
Fax Number	:	956-584-9032

Provider Business Practice Location Address
First Line	:	200 PALMVIEW DR
Second Line	:
City	:	PALMVIEW
State	:	TX
Zip	:	78572-8121
Country	:	US
Telephone Number	:	956-584-3458
Fax Number	:	956-584-9032

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT FLORES
Credential	:
Telephone Number	:	956-584-3458

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	12/16/2016

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Directions to “SWIFT DRUGS INCORPORATED ” Practice Location

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