Provider Demographics
NPI:1447226865
Name:JOEL AND JUNE CALDWELL, INC.
Entity Type:Organization
Organization Name:JOEL AND JUNE CALDWELL, INC.
Other - Org Name:EMPORIUM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC/TREAS PHARMACY MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:814-486-1110
Mailing Address - Street 1:105 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIUM
Mailing Address - State:PA
Mailing Address - Zip Code:15834-1444
Mailing Address - Country:US
Mailing Address - Phone:814-486-1110
Mailing Address - Fax:
Practice Address - Street 1:105 E 4TH ST
Practice Address - Street 2:
Practice Address - City:EMPORIUM
Practice Address - State:PA
Practice Address - Zip Code:15834-1444
Practice Address - Country:US
Practice Address - Phone:814-486-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034638L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014712260001Medicaid