Healthcare Provider Details
I. General information
NPI: 1144869728
Provider Name (Legal Business Name): JAMES ANTHONY CALI JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/31/2019
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5995 STAGE RD
BARTLETT TN
38134-8378
US
IV. Provider business mailing address
5995 STAGE RD
BARTLETT TN
38134-8378
US
V. Phone/Fax
- Phone: 901-385-7097
- Fax: 901-385-7098
- Phone: 901-385-7097
- Fax: 901-385-7098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 13720 |
| License Number State | MS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 0000038257 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: