Provider Demographics
NPI:1386686160
Name:SWANS INVESTMENTS
Entity Type:Organization
Organization Name:SWANS INVESTMENTS
Other - Org Name:HEARTLAND DISCOUNT PBA PHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHRGE
Authorized Official - Prefix:
Authorized Official - First Name:GERGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:636-583-4616
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-0208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:707 HIGHWAY 50 W
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1941
Practice Address - Country:US
Practice Address - Phone:636-583-2646
Practice Address - Fax:636-583-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4159333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2620296OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2620296OtherOTHER ID NUMBER-COMMERCIAL NUMBER