Provider Demographics
NPI:1700154234
Name:MCSWAIN, NASYA MELINDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NASYA
Middle Name:MELINDA
Last Name:MCSWAIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N PACE BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-7500
Mailing Address - Country:US
Mailing Address - Phone:850-432-3307
Mailing Address - Fax:850-432-3520
Practice Address - Street 1:700 N PACE BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-7500
Practice Address - Country:US
Practice Address - Phone:850-432-3307
Practice Address - Fax:850-432-3520
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41367183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty