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NPI Code Detail

MEDICARE: MR. MICHAEL DAVID CALDWELL RPH

MEDICARE:  MR. MICHAEL DAVID CALDWELL  RPH
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
1183500000XPharmacist145375-1701UT

General Provider Information

NPI Number : 1134276264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL DAVID CALDWELL RPH
Provider Business Mailing Address
First Line : 4962 PAWNEE DR
Second Line :
City : WEST JORDAN
State : UT
Zip : 84084-6138
Country : US
Telephone Number : 801-963-9392
Fax Number :
Provider Business Practice Location Address
First Line : 1525 W 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-1401
Country : US
Telephone Number : 801-213-9950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2007
Last Update Date : 12/07/2025

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Directions to “ MR. MICHAEL DAVID CALDWELL RPH” Practice Location

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