Individual
ALVIN RAY STEWART SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
696 CEDAR SPRINGS DR, JACKSON, MS 39212-5710
(504) 722-3326
Mailing address
696 CEDAR SPRINGS DR, JACKSON, MS 39212-5710
(504) 722-3326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13871
LA
183500000X
Pharmacist
Primary
T-010898
MS
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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