Organization
STEWART PHARMACEUTICALS INC
Active
Other names
STEWART COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHALMAS CRAIG STEWART RPH (OWNER PHARMACIST)
(910) 483-5450
Entity
Organization
Contact information
Practice address
101 BROADFOOT AVE, FAYETTEVILLE, NC 28305-5001
(910) 483-5450
(910) 483-6228
Mailing address
101 BROADFOOT AVE, FAYETTEVILLE, NC 28305-5001
(910) 483-5450
(910) 483-6228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05373
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265819
—
NC
01
—
3426055
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
7701130
MEDICAID DME
NC
Enumeration date
06/18/2006
Last updated
12/14/2010
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