Provider Demographics
NPI:1194731356
Name:STEWART, DAVID E (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:STEWART
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 TWIN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MC MINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-6561
Mailing Address - Country:US
Mailing Address - Phone:931-473-3183
Mailing Address - Fax:931-815-2491
Practice Address - Street 1:1100 SMITHVILLE HWY STE 114
Practice Address - Street 2:
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1664
Practice Address - Country:US
Practice Address - Phone:931-473-3183
Practice Address - Fax:931-815-2491
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist