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NPI Code Detail

MEDICARE: DR. NATHAN GLEN SCHWAB PHARMD

MEDICARE: DR. NATHAN GLEN SCHWAB PHARMD
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
1183500000XPharmacistPH2455HI
2183500000XPharmacist26022594AIN
3183500000XPharmacist0000042704TN

General Provider Information

NPI Number : 1811583644
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN GLEN SCHWAB PHARMD
Provider Business Mailing Address
First Line : 1971 TENNESSEE AVE N
Second Line :
City : PARSONS
State : TN
Zip : 38363-5049
Country : US
Telephone Number : 219-241-6405
Fax Number :
Provider Business Practice Location Address
First Line : 1971 TENNESSEE AVE N
Second Line :
City : PARSONS
State : TN
Zip : 38363-5049
Country : US
Telephone Number : 219-241-6405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2020
Last Update Date : 12/16/2020

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