Mona Kim Swanson, RPH
Individual provider Active NPI Pharmacist · Ashburn, GA
NPI 1295025484 · NPPES record last updated Apr 9, 2011
Key facts
- NPI
- 1295025484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18050 (GA)
- Practice address
- 650 E Washington Ave
Ashburn, GA 31714-5316 - Phone
- (229) 567-3007
- Fax
- (229) 567-0473
- NPI assigned
- Apr 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18050 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18050 | GA | Yes |
Addresses
Primary practice location
650 E Washington Ave
Ashburn, GA 31714-5316
Mailing address
650 E Washington Ave
Ashburn, GA 31714-5316
Phone (229) 567-3007
Other providers in Ashburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2011. 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.