Individual
DR. GAGE GREGORY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1402 S RIDGE ROAD, WICHITA, KS 67209
(316) 945-7455
(316) 945-7457
Mailing address
1402 S RIDGE ROAD, WICHITA, KS 67209
(316) 945-7455
(316) 945-7457
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
1-13640
KS
1835N1003X
Nutrition Support Pharmacist
1-13640
KS
1835P1200X
Pharmacotherapy Pharmacist
1-13640
KS
1835P1300X
Psychiatric Pharmacist
1-13640
KS
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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