# CALDWELL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215777529
- **Authorized official:** JOHN SAMUEL (OWNER)
- **Authorized official phone:** (845) 300-5897

## Contact information

- **Practice address:** 808 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-6719
- **Practice address phone:** (973) 808-1800
- **Practice address fax:** (973) 808-1818
- **Mailing address:** 808 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-6719
- **Mailing address phone:** (973) 808-1800
- **Mailing address fax:** (973) 808-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2024
- **Last updated:** 05/27/2024