Provider Demographics
NPI:1508470964
Name:SWAIN DRUG COMPANY LLC
Entity Type:Organization
Organization Name:SWAIN DRUG COMPANY LLC
Other - Org Name:SWAIN'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SWAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:912-260-1064
Mailing Address - Street 1:855 BOWENS MILL RD SW STE E
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-3925
Mailing Address - Country:US
Mailing Address - Phone:912-260-1064
Mailing Address - Fax:912-600-1975
Practice Address - Street 1:855 BOWENS MILL RD SW SUITE E
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533
Practice Address - Country:US
Practice Address - Phone:912-260-1064
Practice Address - Fax:912-600-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy