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Individual

KHADIJA CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1620 ROSS CLARK CIR, DOTHAN, AL 36301-5439
(334) 803-4359
Mailing address
309 RIDGEWAY DR, ENTERPRISE, AL 36330-1636

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17245
AL

Other

Enumeration date
11/11/2015
Last updated
11/11/2015
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