Provider Demographics
NPI:1770911026
Name:SWIST-SCHLEEPER, SHEILA (PHARMD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SWIST-SCHLEEPER
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 1:1501 S WOLF RD
Mailing Address - Street 2:APT 331
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1715
Mailing Address - Country:US
Mailing Address - Phone:618-303-8712
Mailing Address - Fax:
Practice Address - Street 1:3655 NAMEOKI RD
Practice Address - Street 2:
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-3710
Practice Address - Country:US
Practice Address - Phone:618-451-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.286205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist