MEDICARE: SWANTON DRUG, INC

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	3336L0003X	Long Term Care Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0003X	Community/Retail Pharmacy	021459200	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3607376	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1962510339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWANTON DRUG, INC

Provider Business Mailing Address
First Line	:	151 E. AIRPORT HWY
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558
Country	:	US
Telephone Number	:	419-825-5050
Fax Number	:	419-825-2190

Provider Business Practice Location Address
First Line	:	151 E. AIRPORT HWY
Second Line	:
City	:	SWANTON
State	:	OH
Zip	:	43558
Country	:	US
Telephone Number	:	419-825-5050
Fax Number	:	419-825-2190

Authorized Official
Title or Position	:	OWNER
Name	:	NAJIB MAWAD
Credential	:	R.PH./OWNER
Telephone Number	:	419-825-5050

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	04/22/2013

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Directions to “SWANTON DRUG, INC ” Practice Location

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