Provider Demographics
NPI:1487494514
Name:SWEISS, MANAR (PHARMACIST)
Entity type:Individual
Prefix:
First Name:MANAR
Middle Name:
Last Name:SWEISS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10150 GRAND CANAL DR UNIT 15102
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5880
Mailing Address - Country:US
Mailing Address - Phone:321-350-5222
Mailing Address - Fax:
Practice Address - Street 1:10150 GRAND CANAL DR UNIT 15102
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-5880
Practice Address - Country:US
Practice Address - Phone:321-350-5222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS670041835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist