Individual
MR. DOUGLAS M STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4 E MAIN ST, BUCKHANNON, WV 26201-2753
(304) 472-1120
Mailing address
17 MYRNA ST, BUCKHANNON, WV 26201-2125
(304) 472-5297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0002513
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142362000
—
WV
Enumeration date
11/21/2006
Last updated
07/09/2007
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