Healthcare Provider Details

I. General information

NPI: 1508894411
Provider Name (Legal Business Name): DAVID FRANKLIN STEWART SR. RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 PRAIRIE ST N
UNION SPRINGS AL
36089-1617
US

IV. Provider business mailing address

PO BOX 311
UNION SPRINGS AL
36089-0311
US

V. Phone/Fax

Practice location:
  • Phone: 334-738-2320
  • Fax: 334-738-2376
Mailing address:
  • Phone: 334-738-2320
  • Fax: 334-738-2376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7801
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: