# CAPSULE PROVIDENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAPSULE CORPORATION
- **Other names:** Capsule Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629721642
- **Legal business name:** CAPSULE CORPORATION
- **Authorized official:** ERIC KINARIWALA (SOLE MANAGER)
- **Authorized official phone:** (888) 685-9515

## Contact information

- **Practice address:** 229 WATERMAN ST STE H, PROVIDENCE, RI 02906-5227
- **Practice address phone:** (401) 498-4000
- **Practice address fax:** (401) 340-1791
- **Mailing address:** 122 W 146TH ST, NEW YORK, NY 10039-3802
- **Mailing address phone:** (888) 685-9515
- **Mailing address fax:** (646) 934-6409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 09/06/2022