Provider Demographics
NPI:1467015792
Name:SWADLEY, KRISTEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:
Last Name:SWADLEY
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 1:850 E 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4999
Mailing Address - Country:US
Mailing Address - Phone:303-287-4466
Mailing Address - Fax:
Practice Address - Street 1:850 E 88TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4999
Practice Address - Country:US
Practice Address - Phone:303-287-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist