Organization
STEWART PHARMACY, INC.
Active
Other names
Stewart Medical Equipment & Oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NESTOR H. STEWART D. PH. (PRESIDENT)
(931) 473-5387
Entity
Organization
Contact information
Practice address
1100 SMITHVILLE HWY, SUITE 114, MC MINNVILLE, TN 37110-1662
(931) 473-5387
(931) 506-8970
Mailing address
1100 SMITHVILLE HWY, SUITE 114, MC MINNVILLE, TN 37110-1662
(931) 473-5387
(931) 506-8970
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000618
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3513602
—
TN
01
—
4091095
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/16/2006
Last updated
02/06/2013
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