MEDICARE: ANTHONY M STEWART

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	RPH015978	GA
2	183500000X	Pharmacist	PS23806	FL

General Provider Information

NPI Number	:	1912245093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY M STEWART

Provider Business Mailing Address
First Line	:	1700 NORTH MONROE STREET
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303
Country	:	US
Telephone Number	:	850-222-1975
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 N MONROE ST
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5535
Country	:	US
Telephone Number	:	850-222-1975
Fax Number	:

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

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	01/23/2013

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Directions to “ ANTHONY M STEWART ” Practice Location

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