Provider Demographics
NPI:1700581998
Name:SWAIN, DAWN C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:C
Last Name:SWAIN
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 1:197 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-3107
Mailing Address - Country:US
Mailing Address - Phone:781-789-3080
Mailing Address - Fax:
Practice Address - Street 1:360 HUNTINGTON AVENUE
Practice Address - Street 2:140 THE FENWAY, ROOM R220
Practice Address - City:BOSOTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-373-8096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH263551835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist