Individual
COURTNEY KIVETT CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
550 WHITE OAK ST, ASHEBORO, NC 27203-4710
(336) 625-1360
(336) 625-1889
Mailing address
7341 FERGUSON RD, LIBERTY, NC 27298-8513
(336) 963-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25319
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
700392
NC
Other
Enumeration date
08/03/2015
Last updated
04/11/2023
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