Organization
STEWART PHARMACY INC
Active
Other names
STEWART PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEWART PHARMD (VICE PRESIDENT)
(931) 473-3183
Entity
Organization
Contact information
Practice address
1100 SMITHVILLE HWY, SUITE 114, MCMINNVILLE, TN 37110-1662
(931) 473-4571
(931) 473-6813
Mailing address
1100 SMITHVILLE HWY, SUITE 114, MCMINNVILLE, TN 37110-1662
(931) 473-3183
(931) 473-6813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
697
TN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095793
PK
—
05
—
31853
—
TN
05
—
4091095
—
TN
Enumeration date
07/29/2006
Last updated
07/02/2014
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