Healthcare Provider Details

I. General information

NPI: 1295455913
Provider Name (Legal Business Name): CALEB ANDREW SHEDD PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DIAMOND CSWY
SAVANNAH GA
31406-7416
US

IV. Provider business mailing address

9400 ABERCORN ST APT 306
SAVANNAH GA
31406-4525
US

V. Phone/Fax

Practice location:
  • Phone: 912-353-4351
  • Fax: 912-353-4353
Mailing address:
  • Phone: 843-338-6686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH033876
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH43828
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: