Organization
CALDWELL DISCOUNT DRUG CO., INC.
Active
Other names
Caldwell Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MAX ALLEN CALDWELL RPH (PHARMACIST/OWNER)
(870) 238-7085
Entity
Organization
Contact information
Practice address
804 FALLS BLVD S, WYNNE, AR 72396-3505
(870) 238-7085
(870) 238-8937
Mailing address
PO BOX 1084, 804 SOUTH FALLS BLVD, WYNNE, AR 72396-1084
(870) 238-7085
(870) 238-8937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
AR-14982
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113383407
—
AR
Enumeration date
07/11/2005
Last updated
06/09/2021
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