Provider Demographics
NPI:1649908906
Name:CALDWELL, BRYCE (PHARM D)
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:M
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 1:90 APPLE TREE LN APT 24
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-9750
Mailing Address - Country:US
Mailing Address - Phone:828-808-3840
Mailing Address - Fax:
Practice Address - Street 1:220 N HIGHLAND LAKE RD
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-8568
Practice Address - Country:US
Practice Address - Phone:828-692-0546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist