David Cailler
Individual provider Active NPI Pharmacist · Clinton, NC
NPI 1720524028 · NPPES record last updated Jan 10, 2017
Key facts
- NPI
- 1720524028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26434 (NC)
- Practice address
- 1415 Sunset Ave
Clinton, NC 28328-3825 - Phone
- (910) 592-1208
- NPI assigned
- Jan 10, 2017
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26434 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26434 | NC | Yes |
Addresses
Primary practice location
1415 Sunset Ave
Clinton, NC 28328-3825
Mailing address
331 Red Fox Run Dr
Wallace, NC 28466-2366
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.