Individual
BRUCE OWEN SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1635 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4604
(928) 634-2464
(928) 634-2481
Mailing address
1635 EAST COTTONWOOD ST, COTTONWOOD, AZ 86326
(928) 634-2464
(928) 634-2481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8414
AZ
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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