Provider Demographics
NPI:1184349029
Name:CALDWELL, RONIQUE (RPH)
Entity type:Individual
Prefix:
First Name:RONIQUE
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 NW 119TH ST
Mailing Address - Street 2:CVS PHARMACY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168
Mailing Address - Country:US
Mailing Address - Phone:305-688-4663
Mailing Address - Fax:
Practice Address - Street 1:735 NW 119TH ST
Practice Address - Street 2:CVS PHARMACY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168
Practice Address - Country:US
Practice Address - Phone:305-688-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist