Provider Demographics
NPI:1508183161
Name:SWANN, DAUNICE M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DAUNICE
Middle Name:M
Last Name:SWANN
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 1:2111 WILLIAMSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1601
Mailing Address - Country:US
Mailing Address - Phone:347-691-3701
Mailing Address - Fax:347-691-3704
Practice Address - Street 1:2111 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1601
Practice Address - Country:US
Practice Address - Phone:347-691-3701
Practice Address - Fax:347-691-3704
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist