Healthcare Provider Details

I. General information

NPI: 1063748622
Provider Name (Legal Business Name): MICHAEL DAVID CAPLETTE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 W APACHE TRL
APACHE JUNCTION AZ
85120-3433
US

IV. Provider business mailing address

185 W APACHE TRL
APACHE JUNCTION AZ
85120-3433
US

V. Phone/Fax

Practice location:
  • Phone: 480-288-2143
  • Fax: 480-982-6245
Mailing address:
  • Phone: 480-288-2143
  • Fax: 480-982-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS010530
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: