Provider Demographics
NPI:1215080676
Name:STEWART DRUGS
Entity type:Organization
Organization Name:STEWART DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:479-996-2818
Mailing Address - Street 1:202 S COKER ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-4730
Mailing Address - Country:US
Mailing Address - Phone:479-996-2818
Mailing Address - Fax:479-996-1833
Practice Address - Street 1:202 S COKER ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-4730
Practice Address - Country:US
Practice Address - Phone:479-996-2818
Practice Address - Fax:479-996-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0419324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty