Provider Demographics
NPI:1659059921
Name:JOHNSTON, CALEB WILLIAM (PHARM D)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:WILLIAM
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W WOODSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-2843
Mailing Address - Country:US
Mailing Address - Phone:330-814-8599
Mailing Address - Fax:
Practice Address - Street 1:390 ROBINSON AVE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3657
Practice Address - Country:US
Practice Address - Phone:330-564-2697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-07
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH034433751835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care