Provider Demographics
NPI:1962181859
Name:SWANN, TORI ELLEN (PHARMD)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:ELLEN
Last Name:SWANN
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 1:7620 COUNTY ROAD 223
Mailing Address - Street 2:
Mailing Address - City:HANCEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35077-3207
Mailing Address - Country:US
Mailing Address - Phone:256-735-9702
Mailing Address - Fax:
Practice Address - Street 1:1104 CULLMAN SHOPPING CTR NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-2855
Practice Address - Country:US
Practice Address - Phone:256-736-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist