MEDICARE: MICHAEL HAROLD 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
1	183500000X	Pharmacist	PS0023540	FL

General Provider Information

NPI Number	:	1750924361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HAROLD STEWART RPH

Provider Business Mailing Address
First Line	:	5242 HALTATA CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-4365
Country	:	US
Telephone Number	:	727-514-0859
Fax Number	:	727-264-5223

Provider Business Practice Location Address
First Line	:	8745 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-4947
Country	:	US
Telephone Number	:	727-264-5224
Fax Number	:	727-264-5223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2019
Last Update Date	:	10/26/2019

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