Provider Demographics
NPI:1346590775
Name:SWITENBERG, SARAH ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:SWITENBERG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 MONTAGUE AVENUE EXTENSION
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3930
Mailing Address - Country:US
Mailing Address - Phone:864-223-7679
Mailing Address - Fax:864-223-7175
Practice Address - Street 1:1942 MONTAGUE AVENUE EXTENSION
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3930
Practice Address - Country:US
Practice Address - Phone:864-223-7679
Practice Address - Fax:864-223-7175
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist