Provider Demographics
NPI:1205059656
Name:SWIGART, AMY J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:J
Last Name:SWIGART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 230TH ST
Mailing Address - Street 2:PO BOX 255
Mailing Address - City:STATE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50247-9628
Mailing Address - Country:US
Mailing Address - Phone:641-752-2266
Mailing Address - Fax:641-752-2673
Practice Address - Street 1:802 S CENTER ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-3350
Practice Address - Country:US
Practice Address - Phone:641-752-2266
Practice Address - Fax:641-752-2673
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19956183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist