Provider Demographics
NPI:1740164219
Name:SWEENEY, MARCIE (RPH)
Entity type:Individual
Prefix:
First Name:MARCIE
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARCIE
Other - Middle Name:
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:1 APPLE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:KY
Mailing Address - Zip Code:41001-1201
Mailing Address - Country:US
Mailing Address - Phone:859-486-7957
Mailing Address - Fax:
Practice Address - Street 1:430 RICHWOOD RD
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-7410
Practice Address - Country:US
Practice Address - Phone:859-379-1137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY025287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist