Provider Demographics
NPI:1265057459
Name:SWANSON, KRISTOPHER JAMES
Entity type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:JAMES
Last Name:SWANSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19363-1247
Mailing Address - Country:US
Mailing Address - Phone:484-702-7311
Mailing Address - Fax:484-702-7225
Practice Address - Street 1:800 COMMONS DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:PA
Practice Address - Zip Code:19363-1247
Practice Address - Country:US
Practice Address - Phone:484-702-7311
Practice Address - Fax:484-702-7225
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician