Provider Demographics
NPI:1154692119
Name:SWIFT, KANDI J (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:KANDI
Middle Name:J
Last Name:SWIFT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KANDI
Other - Middle Name:JO
Other - Last Name:KORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:460 WALKER DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35146-3250
Mailing Address - Country:US
Mailing Address - Phone:205-467-7988
Mailing Address - Fax:205-467-3079
Practice Address - Street 1:460 WALKER DR
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:AL
Practice Address - Zip Code:35146-3250
Practice Address - Country:US
Practice Address - Phone:205-467-7988
Practice Address - Fax:205-461-3079
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100003257Medicaid