Organization
MIKE SWAIM & VAN SWAIM & BOB
Active
Organization
MIKE SWAIM & VAN SWAIM & BOB
Active
Other names
BOBS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DANIEL RPH (OWNER)
(731) 364-2207
Entity
Organization
Contact information
Practice address
8720 HIGHWAY 22, STE A, DRESDEN, TN 38225-4348
(731) 364-2207
(731) 364-2173
Mailing address
8720 HIGHWAY 22, STE A, DRESDEN, TN 38225-4348
(731) 364-2207
(731) 364-2173
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
331
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095273
PK
—
05
—
4406030
—
TN
Enumeration date
09/21/2006
Last updated
07/14/2016
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