Individual
KENNETH JAMES SWINARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
620 W STATE ST, GRAND ISLAND, NE 68801-3552
(308) 384-8228
(308) 384-6835
Mailing address
620 WEST STATE STREET, GTRAND ISLAND, NE 68801
(308) 384-8228
(308) 384-6835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11616
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0367450002
MEDICARE PTAN
—
05
—
40758509202
—
NE
Enumeration date
04/20/2011
Last updated
04/20/2011
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