Provider Demographics
NPI:1972543122
Name:SCHWED, DAVID HERSCHEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HERSCHEL
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 1:747 GRANT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3258
Mailing Address - Country:US
Mailing Address - Phone:856-234-3184
Mailing Address - Fax:856-451-8209
Practice Address - Street 1:30 N LAUREL ST
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302-1908
Practice Address - Country:US
Practice Address - Phone:856-451-6755
Practice Address - Fax:856-451-8209
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01333600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28R01333600OtherPHARMACY LICENSE