Provider Demographics
NPI:1063704054
Name:SWINT, LAWSON DELANO JR (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LAWSON
Middle Name:DELANO
Last Name:SWINT
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 AIRPORT THRUWAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9011
Mailing Address - Country:US
Mailing Address - Phone:706-322-5154
Mailing Address - Fax:
Practice Address - Street 1:740 N CHASE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-1902
Practice Address - Country:US
Practice Address - Phone:706-353-7847
Practice Address - Fax:706-353-8767
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist