Provider Demographics
NPI:1720368277
Name:STEWART, SUNSET MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUNSET
Middle Name:MARIE
Last Name:STEWART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4470 ROYAL PINE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-2829
Mailing Address - Country:US
Mailing Address - Phone:719-445-4160
Mailing Address - Fax:719-445-4166
Practice Address - Street 1:4470 ROYAL PINE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2829
Practice Address - Country:US
Practice Address - Phone:719-445-4160
Practice Address - Fax:719-445-4166
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist