Brian Shwer, Dpm
Non-Pharmacy Dispensing Site in Southaven, MS. Organization (NPI-2).
NPI number1982176426
StatusActive
Last updated in NPPESFeb 1, 2021
Details
- NPI
- 1982176426
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian Shwer, Dpm
- Organization subpart
- No
- Enumeration date
- Dec 21, 2018
- Certification date
- Feb 1, 2021
- Last updated
- Feb 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
564 Goodman Rd ESouthaven, MS 38671-9526
Phone 662-349-7333 · Fax 662-349-0550
Mailing address
564 Goodman Rd ESouthaven, MS 38671-9526
Phone 662-349-7333 · Fax 662-349-0550
Authorized official
Brian Ivan Shwer
Dr
6623497333
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