Provider Demographics
NPI:1730809948
Name:SCHWEER, WILFORD TRAVIS (PHARMD)
Entity type:Individual
Prefix:
First Name:WILFORD
Middle Name:TRAVIS
Last Name:SCHWEER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-8402
Mailing Address - Country:US
Mailing Address - Phone:406-829-8532
Mailing Address - Fax:
Practice Address - Street 1:3555 MULLAN RD
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-5125
Practice Address - Country:US
Practice Address - Phone:406-829-8532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT88842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist