Provider Demographics
NPI:1992835037
Name:SWAFFORD, JARRETT (PHARM D)
Entity type:Individual
Prefix:
First Name:JARRETT
Middle Name:
Last Name:SWAFFORD
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 646
Mailing Address - Street 2:
Mailing Address - City:SALE CREEK
Mailing Address - State:TN
Mailing Address - Zip Code:37373-0646
Mailing Address - Country:US
Mailing Address - Phone:423-486-9404
Mailing Address - Fax:423-486-9434
Practice Address - Street 1:14821 DAYTON PIKE STE 115
Practice Address - Street 2:
Practice Address - City:SALE CREEK
Practice Address - State:TN
Practice Address - Zip Code:37373-5752
Practice Address - Country:US
Practice Address - Phone:423-486-9404
Practice Address - Fax:423-486-9434
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist