Provider Demographics
NPI:1699728634
Name:SWANS INVESTMENTS LTD
Entity type:Organization
Organization Name:SWANS INVESTMENTS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES/PHARMACIST IN CHRGE
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:636-583-2646
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-0208
Mailing Address - Country:US
Mailing Address - Phone:636-583-4616
Mailing Address - Fax:636-583-4310
Practice Address - Street 1:707 US HIGHWAY 50 W
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1941
Practice Address - Country:US
Practice Address - Phone:636-583-2646
Practice Address - Fax:636-583-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336L0003X, 3336M0002X
MO41593336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2050400OtherPK
MO621872902Medicaid
MO601872906Medicaid
MO601872906Medicaid