Provider Demographics
NPI:1316294143
Name:FOSHEE, CALEB MARTIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CALEB
Middle Name:MARTIN
Last Name:FOSHEE
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 1:834 E HENRI DE TONTI BLVD
Mailing Address - Street 2:
Mailing Address - City:TONTITOWN
Mailing Address - State:AR
Mailing Address - Zip Code:72762-4124
Mailing Address - Country:US
Mailing Address - Phone:479-927-6100
Mailing Address - Fax:844-646-6558
Practice Address - Street 1:834 E HENRI DE TONTI BLVD
Practice Address - Street 2:
Practice Address - City:TONTITOWN
Practice Address - State:AR
Practice Address - Zip Code:72762-4124
Practice Address - Country:US
Practice Address - Phone:479-927-6100
Practice Address - Fax:844-646-6558
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist