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Individual

MR. IVAN LYNN CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
511 WEST MAIN STREET, SMITHVILLE, TN 37166
(615) 597-1988
(615) 597-1969
Mailing address
PO BOX 733, SMITHVILLE, TN 37166
(615) 597-1988
(615) 597-1969

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3034
TN

Other

Enumeration date
08/30/2006
Last updated
07/18/2007
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