Organization Name: | STEWART'S PHARMACY, INC. |
NPI Number: | 1205883394 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFERY M. STEWART (OWNER/PHARMACIST) |
Mailing Address: | 57 W Main St Austin |
State: | IN US |
Postal Code: | 471021303 |
Phone Number: | 8127943001 |
Fax Number: | 8127944007 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 60005878A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |