Mark Alan Swenson, R,PH.
Individual provider Active NPI Pharmacist · Sandy, UT
NPI 1003948670 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003948670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 179298-1701 (UT)
- Practice address
- 10130 S State St
Sandy, UT 84070-4118 - Phone
- (801) 255-3101
- Fax
- (801) 255-3101
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179298-1701 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 179298-1701 | UT | Yes |
Addresses
Primary practice location
10130 S State St
Sandy, UT 84070-4118
Mailing address
12 Ann Arbor Dr
Draper, UT 84020-3417
Phone (801) 255-3101
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.