Organization
PUBLIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHADIJA F CALDWELL PHARMD (PHARMACIST)
(334) 673-1215
Entity
Organization
Contact information
Practice address
309 RIDGEWAY DR, ENTERPRISE, AL 36330-1636
(334) 803-4359
Mailing address
309 RIDGEWAY DR, ENTERPRISE, AL 36330-1636
(334) 803-4359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113406
AL
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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