Nancy Therese Caddigan, PHARMD, RPH

Individual provider Active NPI Pharmacist · Gardnerville, NV

NPI 1578091476 · NPPES record last updated Nov 14, 2023

Key facts

NPI
1578091476
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PST020862 (LA)
Practice address
1559 Watasheamu Rd
Gardnerville, NV 89460-7455
Phone
(775) 265-8622
Fax
(775) 265-3429
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PST020862LAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST020862 LA Yes

Addresses

Primary practice location

1559 Watasheamu Rd
Gardnerville, NV 89460-7455

Mailing address

1559 Watasheamu Rd
Gardnerville, NV 89460-7455
Phone (775) 265-8622

Other providers in Gardnerville, NV

All providers in Gardnerville, NV · Pharmacist in Nevada

Sources for this page

Verify at the official NPI Registry.