Provider Demographics
NPI:1366720914
Name:SWINEY, JULIANA (PHARMD, MSPT, MPA)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:SWINEY
Suffix:
Gender:F
Credentials:PHARMD, MSPT, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3988 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1113
Mailing Address - Country:US
Mailing Address - Phone:859-536-9496
Mailing Address - Fax:
Practice Address - Street 1:3988 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1113
Practice Address - Country:US
Practice Address - Phone:859-536-9496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist