Organization
CALDWELL CORP OF THOMASTON INC
Active
Other names
CHEROKEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CALDWELL RPH (PIC)
(706) 646-3100
Entity
Organization
Contact information
Practice address
200 CHEROKEE RD, THOMASTON, GA 30286-3402
(706) 646-3100
(706) 646-3111
Mailing address
200 CHEROKEE RD, THOMASTON, GA 30286-3402
(706) 646-3100
(706) 646-3111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007858
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00655828A
—
GA
01
—
2019133
PK
—
Enumeration date
06/11/2006
Last updated
12/12/2014
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