Provider Demographics
NPI:1356980312
Name:CALDWELL, ANGELA KAY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:KAY
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 CYPRESS POINT DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-6985
Mailing Address - Country:US
Mailing Address - Phone:501-538-6044
Mailing Address - Fax:501-565-5094
Practice Address - Street 1:8824 GEYER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-4765
Practice Address - Country:US
Practice Address - Phone:501-565-7584
Practice Address - Fax:501-565-5094
Is Sole Proprietor?:No
Enumeration Date:2019-12-22
Last Update Date:2019-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist