Provider Demographics
NPI:1497782676
Name:SWANK, MEREDITH S (RPH)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:S
Last Name:SWANK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 ROADSTOWN GREENWICH RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-6672
Mailing Address - Country:US
Mailing Address - Phone:856-451-6755
Mailing Address - Fax:856-451-8209
Practice Address - Street 1:30 N LAUREL ST
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302-1908
Practice Address - Country:US
Practice Address - Phone:856-451-6755
Practice Address - Fax:856-451-8209
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI22161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist