Provider Demographics
NPI:1740918085
Name:CASWELL, CALLIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CALLIE
Middle Name:
Last Name:CASWELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 SANCTUARY VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-8612
Mailing Address - Country:US
Mailing Address - Phone:614-696-0561
Mailing Address - Fax:
Practice Address - Street 1:1725 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1699
Practice Address - Country:US
Practice Address - Phone:740-363-8171
Practice Address - Fax:740-368-0201
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03442362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist