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NPI Code Detail

MEDICARE: CALEB PARKER

MEDICARE:   CALEB  PARKER
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
1183500000XPharmacist45022987AIN

General Provider Information

NPI Number : 1841015989
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALEB PARKER
Provider Business Mailing Address
First Line : 2937 WESTLEIGH DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-2084
Country : US
Telephone Number : 317-296-1646
Fax Number :
Provider Business Practice Location Address
First Line : 2937 WESTLEIGH DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-2084
Country : US
Telephone Number : 317-296-1646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2024
Last Update Date : 11/21/2024

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Directions to “ CALEB PARKER ” Practice Location

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