Provider Demographics
NPI:1154823789
Name:SWARTWOOD, SHAY LYNN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SHAY
Middle Name:LYNN
Last Name:SWARTWOOD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16745 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-9230
Mailing Address - Country:US
Mailing Address - Phone:580-761-0876
Mailing Address - Fax:
Practice Address - Street 1:6000 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-3302
Practice Address - Country:US
Practice Address - Phone:405-681-1419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist