Provider Demographics
NPI:1699986554
Name:STEWART, JARED FRANKLIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:FRANKLIN
Last Name:STEWART
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 SE 28TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-2048
Mailing Address - Country:US
Mailing Address - Phone:515-255-4767
Mailing Address - Fax:
Practice Address - Street 1:3221 SE 14TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-1304
Practice Address - Country:US
Practice Address - Phone:515-246-1390
Practice Address - Fax:515-280-5106
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist