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Contact Information

BLAZE J CALDERON
551 LIBERTY DR
GREENWOOD, AR72936-6001
 Phone: 479-996-8533
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for BLAZE J CALDERON · (Male)

NPI # 1881287266
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2021
Last updated 02/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PD15469
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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