Provider Demographics
NPI:1265107635
Name:CALDWELL, NATHAN WAYNE (RPH)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:WAYNE
Last Name:CALDWELL
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 SPRING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6754
Mailing Address - Country:US
Mailing Address - Phone:406-373-3500
Mailing Address - Fax:
Practice Address - Street 1:1775 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6754
Practice Address - Country:US
Practice Address - Phone:406-373-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-841801835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist