Most Relevant Information
Provider Data
| NPI Number: | 1003397506 |
| Provider Name: | KEVIN SWANSON PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PHA-PHA-LIC-55227 |
Most Important Dates
| Enumeration Date: | 08/23/2018 |
| Last Updated: | 08/23/2018 |
Provider Practice Location
2500 MASSACHUSETTS AVE
BUTTE
MT
597016019
Practice Location Phone/Fax
| Phone: | 4064943754 |
| Fax: | 4064943823 |
Provider Mailing Location
2500 MASSACHUSETTS AVE
BUTTE
MT
597016019
Provider Mailing Phone/Fax
| Phone: | 4064943754 |
| Fax: |