Provider Demographics
NPI:1356574974
Name:SWING, CATHERINE NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:NICOLE
Last Name:SWING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:NICOLE
Other - Last Name:PEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:16812 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GALESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54630-7704
Mailing Address - Country:US
Mailing Address - Phone:608-582-2446
Mailing Address - Fax:608-582-4321
Practice Address - Street 1:918 W PLATT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MAQUOKETA
Practice Address - State:IA
Practice Address - Zip Code:52060-2038
Practice Address - Country:US
Practice Address - Phone:563-652-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-30
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15574-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist