David Michael Swager, RPH.
Individual provider Active NPI Pharmacist · Mulberry, FL
NPI 1790039675 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1790039675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS23326 (FL)
- Practice address
- 1009 N Church Ave
Mulberry, FL 33860-2039 - Phone
- (863) 425-1101
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS23326 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mulberry Pharmacy Inc | Past | Accepting new patients | |
| Mulberry LTC Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS23326 | FL | Yes |
Addresses
Primary practice location
1009 N Church Ave
Mulberry, FL 33860-2039
Mailing address
1009 N Church Ave
Mulberry, FL 33860-2039
Phone (863) 425-1101
Other providers in Mulberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. 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.