Provider Demographics
NPI:1770179384
Name:LAWSON, JOSHUA CALEB (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CALEB
Last Name:LAWSON
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 1:1951 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:AR
Mailing Address - Zip Code:72727-2900
Mailing Address - Country:US
Mailing Address - Phone:479-643-2362
Mailing Address - Fax:479-643-2368
Practice Address - Street 1:1951 N CENTER ST
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:AR
Practice Address - Zip Code:72727-2900
Practice Address - Country:US
Practice Address - Phone:479-643-2362
Practice Address - Fax:479-643-2368
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD14087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist