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General NPI Number Information
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NPI Number | 1447226865
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Entity Type | Organization
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Legal Business Name | JOEL AND JUNE CALDWELL, INC.
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Dates
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Enumeration Date | 02/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 E 4TH ST
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City | EMPORIUM
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State | PA
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Zip | 15834-1444
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Country | US
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Telephone | 814-486-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 105 E 4TH ST
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City | EMPORIUM
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State | PA
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Zip | 15834-1444
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Country | US
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Telephone | 814-486-1110
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Fax |
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Authorized Official
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Title or Position | SEC/TREAS PHARMACY MGR
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Name | MRS. JUNE L. CALDWELL
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Credential | R. PH.
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Telephone | 814-486-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP034638L
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License Number State | PA
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