Provider Demographics
NPI:1740567320
Name:SWIGER, DEBORAH J (RPH)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:SWIGER
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 1:25 HAWKESYARD LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1344
Mailing Address - Country:US
Mailing Address - Phone:304-344-3903
Mailing Address - Fax:304-347-8963
Practice Address - Street 1:1101 FLEDDERJOHN RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-4204
Practice Address - Country:US
Practice Address - Phone:304-342-8842
Practice Address - Fax:304-347-8963
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist