Provider Demographics
NPI:1184231813
Name:UEBELEIN, CALEB (PHARMD)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:UEBELEIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 E SETTLERS PASS APT 2030
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-1661
Mailing Address - Country:US
Mailing Address - Phone:314-323-6010
Mailing Address - Fax:
Practice Address - Street 1:3800 N LOVINGTON HWY
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-1033
Practice Address - Country:US
Practice Address - Phone:575-492-0310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15129183500000X
MO2019042076183500000X
NMRP00009362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist