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NPI Code Detail

MEDICARE: DR. ANGELA KAY CALDWELL PHARM D

MEDICARE: DR. ANGELA KAY CALDWELL PHARM D
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
1183500000XPharmacistPD08500AR

General Provider Information

NPI Number : 1356980312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA KAY CALDWELL PHARM D
Provider Business Mailing Address
First Line : 2917 CYPRESS POINT DR
Second Line :
City : BENTON
State : AR
Zip : 72019-6985
Country : US
Telephone Number : 501-538-6044
Fax Number : 501-565-5094
Provider Business Practice Location Address
First Line : 8824 GEYER SPRINGS RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4765
Country : US
Telephone Number : 501-565-7584
Fax Number : 501-565-5094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2019
Last Update Date : 12/22/2019

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