Provider Demographics
NPI:1225616287
Name:STEWART, CHRISTINE A (PHT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:STEWART
Suffix:
Gender:F
Credentials:PHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 TILLETSON PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3840
Mailing Address - Country:US
Mailing Address - Phone:571-237-5066
Mailing Address - Fax:703-237-0821
Practice Address - Street 1:6045 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2721
Practice Address - Country:US
Practice Address - Phone:703-237-7900
Practice Address - Fax:703-237-0821
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician