Provider Demographics
NPI:1780387134
Name:STEWART, SYLVIA CATHERINE
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CATHERINE
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4322A MASSACHUSETTS DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6339
Mailing Address - Country:US
Mailing Address - Phone:443-735-3260
Mailing Address - Fax:
Practice Address - Street 1:1580 S DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4900
Practice Address - Country:US
Practice Address - Phone:302-734-4788
Practice Address - Fax:302-730-8322
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE470101090253519183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician