Individual
MR. JOHNNY M CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1790 W GOV ST, BRANDON, MS 39042-2411
(601) 825-3473
(601) 825-5909
Mailing address
1790 W GOV ST, BRANDON, MS 39042-2411
(601) 825-3473
(601) 825-5909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-5140
MS
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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