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NPI Code Detail

MEDICARE: DR. LAUREN MARSTON CALDAS

MEDICARE: DR. LAUREN MARSTON CALDAS
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
1183500000XPharmacist202210666VA

General Provider Information

NPI Number : 1396025516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN MARSTON CALDAS
Provider Business Mailing Address
First Line : 8 SWANNEE LN
Second Line :
City : ASHLAND
State : VA
Zip : 23005-2197
Country : US
Telephone Number : 804-572-8600
Fax Number :
Provider Business Practice Location Address
First Line : 11900 W BROAD ST
Second Line : KROGER PHARMACY
City : HENRICO
State : VA
Zip : 23233-1007
Country : US
Telephone Number : 804-360-3268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 08/18/2011

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Directions to “ DR. LAUREN MARSTON CALDAS ” Practice Location

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