Provider Demographics
NPI:1265744403
Name:SWETT, SUZANNE M (PHARMACIST)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:M
Last Name:SWETT
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 CANADA RD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:TN
Mailing Address - Zip Code:38002-9712
Mailing Address - Country:US
Mailing Address - Phone:901-379-2102
Mailing Address - Fax:
Practice Address - Street 1:2960 CANADA RD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-9712
Practice Address - Country:US
Practice Address - Phone:901-379-2102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-03
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000008477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist