Provider Demographics
NPI:1982947487
Name:SWEENEY, MARY E (RPH)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:SWEENEY
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 1:1975 ROLLINGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-9114
Mailing Address - Country:US
Mailing Address - Phone:859-817-1160
Mailing Address - Fax:
Practice Address - Street 1:1975 ROLLINGWOOD CT
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-9114
Practice Address - Country:US
Practice Address - Phone:859-817-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230317-21835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric