Provider Demographics
NPI:1285972349
Name:SWECKER, AMANDA CAPPS (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:CAPPS
Last Name:SWECKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4341 HERITAGE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3620
Mailing Address - Country:US
Mailing Address - Phone:205-821-7878
Mailing Address - Fax:
Practice Address - Street 1:784 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1800
Practice Address - Country:US
Practice Address - Phone:205-824-6010
Practice Address - Fax:205-824-6015
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist