Provider Demographics
NPI:1033714068
Name:CALDWELL, LINDA (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:3709 TIDEWATER DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2084
Mailing Address - Country:US
Mailing Address - Phone:214-957-9019
Mailing Address - Fax:
Practice Address - Street 1:2101 W SPRING CREEK PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4103
Practice Address - Country:US
Practice Address - Phone:972-943-0601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist