Individual
MR. JOHN WILSON CALDWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
102 ROCK BARN RD NE, CONOVER, NC 28613-9727
(828) 465-0301
Mailing address
102 ROCK BARN RD NE, CONOVER, NC 28613-9727
(828) 465-0301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6177
NC
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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