Organization
STEWARTS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JAMES GIGLIOTTI RPH (OWNER)
(814) 938-8570
Entity
Organization
Contact information
Practice address
219 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1918
(814) 938-8570
(814) 938-4644
Mailing address
219 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1918
(814) 938-8570
(814) 938-4644
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412408L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005643280002
—
PA
Enumeration date
02/09/2007
Last updated
08/22/2020
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