Organization
STEWARTS PHARMACY AND THE WELLNESS STORE INC
Active
Other names
Stewart's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY JACKSON (SECT-TREAS)
(850) 216-1021
Entity
Organization
Contact information
Practice address
1350 E MAHAN ST STE B-1, TALLAHASSEE, FL 32308
(850) 216-1021
(850) 246-1042
Mailing address
1350 E MAHAN ST STE B1, TALLAHASSEE, FL 32308
(850) 216-1021
(850) 246-1042
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH16983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136473
PK
—
Enumeration date
02/20/2007
Last updated
02/26/2015
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