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Organization

STEWART'S PHARMACY, INC.

Active
Other names
Stewart's Pharmacy, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFERY M. STEWART RPH (OWNER/PHARMACIST)
(812) 794-3001
Entity
Organization

Contact information

Practice address
57 W MAIN ST, AUSTIN, IN 47102-1303
(812) 794-3001
(812) 794-4007
Mailing address
57 W MAIN ST, AUSTIN, IN 47102-1303
(812) 794-3001
(812) 794-4007

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
60005878A
IN
333600000X
Pharmacy
Primary
60005878A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26018757A
PHARMACIST LICENSE #
IN
01
60005878A
STATE PHARMACY LICENSE #
IN
Enumeration date
05/27/2006
Last updated
03/29/2011
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