Healthcare Provider Details

I. General information

NPI: 1689653180
Provider Name (Legal Business Name): PAMELA STEWART-KUHN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: PAMELA STEWART RPH

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COMDT (CG-1122) 2100 2ND ST SW ROOM 5314
WASHINGTON DC
20593-0001
US

IV. Provider business mailing address

COMDT (CG-1122) 2100 2ND ST SW ROOM 5314
WASHINGTON DC
20593-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-267-0694
  • Fax:
Mailing address:
  • Phone: 202-267-0694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20946
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: