Provider Demographics
NPI:1235653619
Name:STEWART, CHRISTOPHER CHAD (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CHAD
Last Name:STEWART
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 S COLLEGE ST UNIT 2113
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4470
Mailing Address - Country:US
Mailing Address - Phone:910-644-2612
Mailing Address - Fax:
Practice Address - Street 1:2400 LITTLE ROCK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-2752
Practice Address - Country:US
Practice Address - Phone:704-394-6546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27262183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist