Most Relevant Information
Provider Data
| NPI Number: | 1003427014 |
| Provider Name: | TERRENCE CALDWELL PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0200X |
| Specialty: | Pharmacist |
| License Number: | RP452592 |
Most Important Dates
| Enumeration Date: | 08/13/2020 |
| Last Updated: | 08/13/2020 |
Provider Practice Location
3401 CIVIC CENTER BLVD
PHILADELPHIA
PA
191044319
Practice Location Phone/Fax
| Phone: | 2155901000 |
| Fax: |
Provider Mailing Location
941 MAPLE AVE
GLENOLDEN
PA
190361116
Provider Mailing Phone/Fax
| Phone: | 2154502928 |
| Fax: |