Provider Demographics
NPI:1811593718
Name:SCHWED, ADAM (RPH)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:SCHWED
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2556 E 2700 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-8184
Mailing Address - Country:US
Mailing Address - Phone:801-410-3960
Mailing Address - Fax:
Practice Address - Street 1:1269 E 2100 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-2824
Practice Address - Country:US
Practice Address - Phone:801-486-0695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT862032021701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist