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NPI Code Detail

MEDICARE: MR. LEON STEWART RPH

MEDICARE: MR. LEON STEWART 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
1183500000XPharmacist026394NY

General Provider Information

NPI Number : 1275857260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEON STEWART RPH
Provider Business Mailing Address
First Line : 3948 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5111
Country : US
Telephone Number : 718-356-1789
Fax Number : 718-356-1777
Provider Business Practice Location Address
First Line : 3948 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-5111
Country : US
Telephone Number : 718-356-1789
Fax Number : 718-356-1777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2010
Last Update Date : 03/18/2010

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Directions to “ MR. LEON STEWART RPH” Practice Location

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