Provider Demographics
NPI:1023426939
Name:SWARTS, DEIRDRE (RPH)
Entity type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:
Last Name:SWARTS
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 1:11500 HANNON RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97524-9598
Mailing Address - Country:US
Mailing Address - Phone:541-826-2670
Mailing Address - Fax:541-471-2819
Practice Address - Street 1:135 NE TERRY LN
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-4801
Practice Address - Country:US
Practice Address - Phone:541-471-2820
Practice Address - Fax:541-471-2819
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8868183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist