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NPI Code Detail

MEDICARE: DR. AMBER RAE STEWART PHARMD, RPH

MEDICARE:  DR. AMBER RAE STEWART  PHARMD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03129805OH

General Provider Information

NPI Number : 1215538624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBER RAE STEWART PHARMD, RPH
Provider Business Mailing Address
First Line : 1143 SMILEY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1143 SMILEY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1832
Country : US
Telephone Number : 513-825-3804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2020
Last Update Date : 11/03/2020

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Directions to “ DR. AMBER RAE STEWART PHARMD, RPH” Practice Location

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