| Doctor Name: | DR. SHANNON LEIGH STEWART |
| NPI Number: | 1922268036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARM.D. |
| License Number: | 10519 |
| Business Practice Address: | 1410 Cherry Rd Eads, TN - 380283278 |
| Business Phone Number: | 9014667760 |
| Business Fax Number: | |
| Mailing Address: | 1410 Cherry Rd, EADS |
| State: | TN |
| Postal Code: | 380283278 |
| Phone Number: | 9014667760 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 10519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |