Individual
MRS. VIVEK SWAMINATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
150 RALEIGH DR, ELIZABETHTOWN, KY 42701-7139
(270) 408-4777
Mailing address
150 RALEIGH DR, ELIZABETHTOWN, KY 42701-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
012119
KY
1835P1300X
Psychiatric Pharmacist
Primary
11931
TN
1835P1300X
Psychiatric Pharmacist
5302032459
MI
Other
Enumeration date
07/05/2005
Last updated
05/07/2009
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