Provider Demographics
NPI:1770181307
Name:SWANSON-BARR, LIBBY (RPH)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:
Last Name:SWANSON-BARR
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 1:1450 S ERIE HWY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4048
Mailing Address - Country:US
Mailing Address - Phone:513-868-5440
Mailing Address - Fax:513-868-5455
Practice Address - Street 1:1450 S ERIE HWY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4048
Practice Address - Country:US
Practice Address - Phone:513-868-5440
Practice Address - Fax:513-868-5455
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH031225501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist