Organization
LOUIS M CALDWELL JR
Active
Other names
KEENE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS CALDWELL RPH (OWNER)
(817) 558-3341
Entity
Organization
Contact information
Practice address
114 S OLD BETSY RD, KEENE, TX 76059-2425
(817) 558-3341
(817) 641-8752
Mailing address
PO BOX 566, KEENE, TX 76059-0566
(817) 552-3341
(817) 651-8452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20155
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144937
—
TX
01
—
2098101
PK
—
Enumeration date
12/01/2006
Last updated
02/16/2017
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