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General NPI Number Information
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NPI Number | 1215561527
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Entity Type | Organization
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Legal Business Name | CALDWELL DRUG
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 8141 US HWY. 165
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City | COLUMBIA
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State | LA
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Zip | 71418
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Country | US
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Telephone | 318-502-4032
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Fax | 318-502-4033
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Provider Business Mailing Address
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Address Line | P.O. BOX 1329
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City | COLUMBIA
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State | LA
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Zip | 71418
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Country | US
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Telephone | 318-355-8266
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Fax | 318-387-5008
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Authorized Official
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Title or Position | CO OWNER
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Name | JODY RITTER MCDONALD
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Credential |
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Telephone | 318-502-4032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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