| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATIE ROSE SWANSON | 1962001339 | 2020-10-18 |
Katie Rose Swanson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962001339. Registration indicates Katie Rose Swanson is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Katie Rose Swanson |
| Practice Office Address | 2500 LAKE SHORE DR E ASHLAND, WI US |
| Practice Office Telephone | 7156823660 |
| Practice Office Fax | 7156859941 |
| Mailing Address | 65301 PEARCE RD ASHLAND, WI 548064519 US |
| Business Telephone | 7156858102 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 17064
WI |