Provider Demographics
NPI:1457655581
Name:SWINK, LAURA FORD (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:FORD
Last Name:SWINK
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 1:2440 31ST STREET DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7910
Mailing Address - Country:US
Mailing Address - Phone:828-324-7171
Mailing Address - Fax:828-324-9584
Practice Address - Street 1:1220 HIGHWAY 321 NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-324-7171
Practice Address - Fax:828-324-9584
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist