Individual
MR. LARRY G SWOVERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1808 ALBANY ST, BEECH GROVE, IN 46107-1404
(317) 786-1031
(317) 786-1036
Mailing address
1599 QUAIL GLEN CT, CARMEL, IN 46032-3462
(317) 523-7311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26011939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26011939A
PHARMACY LICENSE
IN
Enumeration date
10/10/2011
Last updated
10/10/2011
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