Provider Demographics
NPI:1407808066
Name:SWOY, JEFFREY A (RPH, CPH, NPH)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:SWOY
Suffix:
Gender:M
Credentials:RPH, CPH, NPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 BARN OWL WAY
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6131
Mailing Address - Country:US
Mailing Address - Phone:813-892-4926
Mailing Address - Fax:813-627-0101
Practice Address - Street 1:1748 BARN OWL WAY
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-6131
Practice Address - Country:US
Practice Address - Phone:813-892-4926
Practice Address - Fax:813-627-0101
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS23547183500000X, 1835N1003X, 1835P1200X, 1835P1300X
FLNP2461835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear
No183500000XPharmacy Service ProvidersPharmacist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric