Provider Demographics
NPI:1609125145
Name:HESS, STEWART EARL (RPH)
Entity Type:Individual
Prefix:
First Name:STEWART
Middle Name:EARL
Last Name:HESS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 ASSEMBLY DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4371
Mailing Address - Country:US
Mailing Address - Phone:240-624-2200
Mailing Address - Fax:240-624-2205
Practice Address - Street 1:4611 ASSEMBLY DR
Practice Address - Street 2:SUITE H
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4371
Practice Address - Country:US
Practice Address - Phone:240-624-2200
Practice Address - Fax:240-624-2205
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist