Provider Demographics
NPI:1215675723
Name:SWIFT PHARMACY
Entity type:Organization
Organization Name:SWIFT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:AYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-EZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-416-4986
Mailing Address - Street 1:2743 IMPERIA DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8988
Mailing Address - Country:US
Mailing Address - Phone:832-226-6060
Mailing Address - Fax:281-506-8814
Practice Address - Street 1:2743 IMPERIA DR STE 104
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8988
Practice Address - Country:US
Practice Address - Phone:281-416-4986
Practice Address - Fax:281-506-8814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy