Carey L Cadwallader

Individual provider Active NPI Pharmacy Technician · Eldon, MO

NPI 1477384691 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1477384691
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
2013036244 (MO)
Practice address
1802 S Business 54
Eldon, MO 65026-1786
Phone
(573) 392-1863
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2013036244MOMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP Past
since Aug 11, 2024
Accepting new patients
Wal-Mart Stores East, LP Past
since Aug 11, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 2013036244 MO Yes

Addresses

Primary practice location

1802 S Business 54
Eldon, MO 65026-1786

Mailing address

193 Bunker Rd
Eldon, MO 65026-4872
Phone (573) 539-9652

Other providers in Eldon, MO

All providers in Eldon, MO · Pharmacy Technician in Missouri

Sources for this page

Verify at the official NPI Registry.