Individual
KELLY MARIE SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 SE 14TH ST, DES MOINES, IA 50320-1609
(515) 287-7748
Mailing address
3216 SE 20TH ST, ANKENY, IA 50021-7112
(515) 822-5507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18774
IA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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