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NPI Code Detail

MEDICARE: DENNIS MICHAEL SWIFT RPH

MEDICARE: DENNIS MICHAEL SWIFT RPH
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
1183500000XPharmacist9596NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110027OTHERWIPHARMACIST LICENSE
216286OTHERIAPHARMACIST LICENSE
39596OTHERNEPHARMACIST LICENSE

General Provider Information

NPI Number : 1184813081
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS MICHAEL SWIFT RPH
Provider Business Mailing Address
First Line : 9030 WASHINGTON ST
Second Line :
City : OMAHA
State : NE
Zip : 68127-4015
Country : US
Telephone Number : 402-331-2543
Fax Number : 402-572-0878
Provider Business Practice Location Address
First Line : 4001 LEAVENWORTH ST
Second Line :
City : OMAHA
State : NE
Zip : 68105-1026
Country : US
Telephone Number : 402-979-8011
Fax Number : 402-401-7552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 02/07/2020

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