Individual
DR. CARL SWANSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
10 CLARA DR, MYSTIC, CT 06355-1957
(860) 536-4606
(860) 536-9629
Mailing address
10 CLARA DR, MYSTIC, CT 06355-1957
(860) 536-4606
(860) 536-9629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
114018
MN
183500000X
Pharmacist
5302035416
MI
183500000X
Pharmacist
Primary
PCT.0012165
CT
183500000X
Pharmacist
PH 233749
MA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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