Provider Demographics
NPI:1992205843
Name:CAPERTON, JOSHUA LARRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:LARRY
Last Name:CAPERTON
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 1:2130 N LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-4456
Mailing Address - Country:US
Mailing Address - Phone:931-762-6058
Mailing Address - Fax:931-762-8613
Practice Address - Street 1:2130 N LOCUST AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-4456
Practice Address - Country:US
Practice Address - Phone:931-762-6058
Practice Address - Fax:931-762-8613
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist