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NPI Code Detail

MEDICARE: MS. AMANDA BROOKE CALDWELL PHARMD

MEDICARE:  MS. AMANDA BROOKE CALDWELL  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15274AL

General Provider Information

NPI Number : 1407994908
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA BROOKE CALDWELL PHARMD
Provider Business Mailing Address
First Line : 1100 STONEGATE DRIVE
Second Line : LOT # 150
City : AUBURN
State : AL
Zip : 36832
Country : US
Telephone Number : 334-821-3549
Fax Number :
Provider Business Practice Location Address
First Line : 2055 COLISEUM BLVD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36110
Country : US
Telephone Number : 334-271-6457
Fax Number : 334-271-6944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 07/08/2007

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Directions to “ MS. AMANDA BROOKE CALDWELL PHARMD” Practice Location

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