Provider Demographics
NPI:1659621860
Name:CALDWELL MEMORIAL HOSPITAL INC
Entity Type:Organization
Organization Name:CALDWELL MEMORIAL HOSPITAL INC
Other - Org Name:COMMUNITY PHARMACY-FALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-757-5582
Mailing Address - Street 1:240 TIMBERBROOK LN
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-1976
Mailing Address - Country:US
Mailing Address - Phone:828-757-8230
Mailing Address - Fax:828-757-8235
Practice Address - Street 1:240 TIMBERBROOK LN
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-1976
Practice Address - Country:US
Practice Address - Phone:828-757-8230
Practice Address - Fax:828-757-8235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC113903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2136586OtherPK