Organization
CALDWELLS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN LYNN CALDWELL PHARMACIST (PRESIDENT OF CORPORATION OWNER PHAR)
(615) 597-1988
Entity
Organization
Contact information
Practice address
511 W MAIN ST, SMITHVILLE, TN 37166
(615) 597-1988
(615) 597-1969
Mailing address
PO BOX 733, SMITHVILLE, TN 37166-0733
(615) 597-1988
(615) 597-1969
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1552
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452828
—
TN
Enumeration date
08/30/2006
Last updated
12/10/2025
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