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Organization
STEWARTS PHARMACY AND THE WELLNESS STORE INC
Active
Organization
STEWARTS PHARMACY AND THE WELLNESS STORE INC
Active
Other names
Stewart's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY JACKSON (SECT-TREAS)
(850) 216-1021
Entity
Organization
Contact information
Practice address
1350 E MAHAN ST STE B-1, TALLAHASSEE, FL 32308
(850) 216-1021
(850) 246-1042
Mailing address
1350 E MAHAN ST STE B1, TALLAHASSEE, FL 32308
(850) 216-1021
(850) 246-1042
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH16983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136473
PK
—
Enumeration date
02/20/2007
Last updated
02/26/2015
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