Most Relevant Information
Provider Data
| NPI Number: | 1003643586 |
| Provider Name: | GADIEL CALEB ROSARIO NEGRON RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 48262 |
Most Important Dates
| Enumeration Date: | 09/18/2024 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
240 NEW BYHALIA RD
COLLIERVILLE
TN
380173716
Practice Location Phone/Fax
| Phone: | 9018531330 |
| Fax: |
Provider Mailing Location
10428 EMMAS CIR N
COLLIERVILLE
TN
380174101
Provider Mailing Phone/Fax
| Phone: | 7874262646 |
| Fax: |