Provider Demographics
NPI:1649572892
Name:SCHWEIM, ADAM RYAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:RYAN
Last Name:SCHWEIM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 JOHNSON BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-8214
Mailing Address - Country:US
Mailing Address - Phone:530-542-7744
Mailing Address - Fax:530-542-7750
Practice Address - Street 1:1020 JOHNSON BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-8214
Practice Address - Country:US
Practice Address - Phone:530-542-7744
Practice Address - Fax:530-542-7750
Is Sole Proprietor?:No
Enumeration Date:2010-11-20
Last Update Date:2010-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist