Provider Demographics
NPI:1689190589
Name:CACAL, HENRI WAYNE C (PHARMD)
Entity Type:Individual
Prefix:
First Name:HENRI WAYNE
Middle Name:C
Last Name:CACAL
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 1:2332 PATHFINDER DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-1008
Mailing Address - Country:US
Mailing Address - Phone:916-397-5766
Mailing Address - Fax:
Practice Address - Street 1:1000 PHYSICIANS WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1471
Practice Address - Country:US
Practice Address - Phone:615-721-4065
Practice Address - Fax:615-721-4389
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000041499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist