Provider Demographics
NPI:1447895768
Name:STEWART, ALYSSA PAIGE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:PAIGE
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 1:1825 LEGACY PARK APT 301
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5793
Mailing Address - Country:US
Mailing Address - Phone:919-395-3450
Mailing Address - Fax:
Practice Address - Street 1:500 SHEPHERD ST STE 300
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1633
Practice Address - Country:US
Practice Address - Phone:336-713-7777
Practice Address - Fax:336-713-6355
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26950183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist