Provider Demographics
NPI:1710325147
Name:CAPONE, RALPH ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ANDREW
Last Name:CAPONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 PICKERINGTON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8077
Mailing Address - Country:US
Mailing Address - Phone:724-454-4654
Mailing Address - Fax:
Practice Address - Street 1:135 PICKERINGTON RIDGE DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8077
Practice Address - Country:US
Practice Address - Phone:724-454-4654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447481183500000X
OHRPH.03132503-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist