Organization
CALDWELL DISCOUNT DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX CALDWELL PHARMACIST (OWNER/PHARMACIST)
(870) 238-7085
Entity
Organization
Contact information
Practice address
804 FALLS BLVD S, WYNNE, AR 72396-3505
(870) 238-7085
(870) 238-8937
Mailing address
804 FALLS BLVD S, WYNNE, AR 72396-3505
(870) 238-7085
(870) 238-8937
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
42975
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42975
ACADEMY OF LACATATION POLICY AND PRACTICE
AR
Enumeration date
03/29/2013
Last updated
03/29/2013
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