Provider Demographics
NPI:1013959410
Name:SWINGLE, DEBRA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:SWINGLE
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 1:110 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:OH
Mailing Address - Zip Code:43783-9588
Mailing Address - Country:US
Mailing Address - Phone:740-743-2185
Mailing Address - Fax:740-697-7064
Practice Address - Street 1:110 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:OH
Practice Address - Zip Code:43783-9588
Practice Address - Country:US
Practice Address - Phone:740-743-2185
Practice Address - Fax:740-743-2994
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-20945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist