Individual
DR. JON SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
345 SMITH AVE N, OUTPATIENT PHARMACY, SAINT PAUL, MN 55102-2346
(651) 220-6000
Mailing address
1150 HENNEPIN AVE, #1303, MINNEAPOLIS, MN 55403-1718
(612) 210-2988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119622
MN
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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