Provider Demographics
NPI:1669416863
Name:SWIGER, E. KIM (RPH)
Entity type:Individual
Prefix:MRS
First Name:E.
Middle Name:KIM
Last Name:SWIGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 OVERLOOK MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-5481
Mailing Address - Country:US
Mailing Address - Phone:770-826-7853
Mailing Address - Fax:
Practice Address - Street 1:11600 SUNRISE VALLEY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-1412
Practice Address - Country:US
Practice Address - Phone:703-865-2031
Practice Address - Fax:703-549-9165
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist