Suzanne M Swett, PHARMACIST
Individual provider Active NPI Pharmacist · Lakeland, TN
NPI 1265744403 · NPPES record last updated Jul 3, 2010
Key facts
- NPI
- 1265744403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0000008477 (TN)
- Practice address
- 2960 Canada Rd
Lakeland, TN 38002-9712 - Phone
- (901) 379-2102
- NPI assigned
- Jul 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 0000008477 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000008477 | TN | Yes |
Addresses
Primary practice location
2960 Canada Rd
Lakeland, TN 38002-9712
Mailing address
2960 Canada Rd
Lakeland, TN 38002-9712
Phone (901) 379-2102
Other providers in Lakeland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2010. 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.