Individual
JACK SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2925 WIGWAM PKWY UNIT 824, HENDERSON, NV 89074-2873
(858) 504-0200
Mailing address
2925 WIGWAM PKWY UNIT 824, HENDERSON, NV 89074-2873
(858) 504-0200
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
190484
CA
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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