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NPI Code Detail

MEDICARE: DR. SUNSET MARIE STEWART PHARMD

MEDICARE: DR. SUNSET MARIE STEWART PHARMD
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
1183500000XPharmacist17155CO

General Provider Information

NPI Number : 1720368277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNSET MARIE STEWART PHARMD
Provider Business Mailing Address
First Line : 4470 ROYAL PINE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2829
Country : US
Telephone Number : 719-445-4160
Fax Number : 719-445-4166
Provider Business Practice Location Address
First Line : 4470 ROYAL PINE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2829
Country : US
Telephone Number : 719-445-4160
Fax Number : 719-445-4166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2011
Last Update Date : 08/27/2011

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