Provider Demographics
NPI:1053189647
Name:CALDWELL, MEGHAN (RPH)
Entity type:Individual
Prefix:
First Name:MEGHAN
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:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-0011
Mailing Address - Country:US
Mailing Address - Phone:406-871-2223
Mailing Address - Fax:
Practice Address - Street 1:2100 9TH ST W
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-4416
Practice Address - Country:US
Practice Address - Phone:406-892-9997
Practice Address - Fax:406-892-2376
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-98283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist