Provider Demographics
NPI:1558916148
Name:CAYLOR, JODI (PHARMD)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:CAYLOR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-1849
Mailing Address - Country:US
Mailing Address - Phone:317-839-6822
Mailing Address - Fax:317-838-5923
Practice Address - Street 1:1700 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-1849
Practice Address - Country:US
Practice Address - Phone:317-839-6822
Practice Address - Fax:317-838-5923
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26020921183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist