Individual
DR. KEITH ALAN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., CGP
Contact information
Practice address
1110 N STONEWALL, BOX 26901, OKLAHOMA CITY, OK 73190-0001
(405) 271-6878
(405) 271-6430
Mailing address
809 RICHMOND RD, EDMOND, OK 73034-3235
(405) 359-7356
(405) 271-6430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9909
NE
1835G0303X
Geriatric Pharmacist
Primary
12152
OK
1835P1200X
Pharmacotherapy Pharmacist
12152
OK
Other
Enumeration date
09/28/2006
Last updated
07/25/2007
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