Provider Demographics
NPI:1316021074
Name:MCSWAIN, DAVID L (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:MCSWAIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 GILBERT RD
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-1698
Mailing Address - Country:US
Mailing Address - Phone:706-647-5561
Mailing Address - Fax:706-647-6526
Practice Address - Street 1:301 N CENTER ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3636
Practice Address - Country:US
Practice Address - Phone:706-647-8267
Practice Address - Fax:706-647-6526
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist