Provider Demographics
NPI:1023301884
Name:FLUHARTY, STUART (RPH)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:FLUHARTY
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 1:906 CAMEL DR
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-4902
Mailing Address - Country:US
Mailing Address - Phone:307-682-1217
Mailing Address - Fax:307-682-0823
Practice Address - Street 1:906 CAMEL DR
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-4902
Practice Address - Country:US
Practice Address - Phone:307-682-1217
Practice Address - Fax:307-682-0823
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2897183500000X
NE11185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist