NPI 1003113051

Cleveland Folashade Caulker

Practitioner Pharmacist Chamblee, GA

Practice location

Address: 3549 Chamblee Tucker Rd, Chamblee, GA 30341-4409
Phone: (770) 455-8620
Fax: (770) 452-1494

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 020399 (GA)

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Registry record

NPI: 1003113051
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2011
Record last updated: 25 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.