Organization
STEWARTS DRUG INC NO 2
Active
Other names
STEWARTS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JERRIE ARUNTHAMAKUN (PHARMACIST)
(865) 453-9096
Entity
Organization
Contact information
Practice address
3120 PARKWAY, PIGEON FORGE, TN 37863-3310
(865) 453-9096
(865) 428-1970
Mailing address
PO BOX 116, PIGEON FORGE, TN 37868-0116
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452430
—
TN
01
—
2088284
PK
—
Enumeration date
09/12/2006
Last updated
11/22/2016
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