Individual
STACEY ANN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1650 EDMONTON RD, TOMPKINSVILLE, KY 42167-9403
(270) 487-0791
Mailing address
960 MEGAN LN, GLASGOW, KY 42141-7650
(270) 576-1696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014905
KY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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