Organization
CAPITANO'S PHARMACY
Active
Other names
Capitanos Pharmaceutial Services, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER JAY CAPITANO RPH (PHARMACIST/OWNER)
(570) 457-5450
Entity
Organization
Contact information
Practice address
101 S MAIN ST, OLD FORGE, PA 18518-1600
(570) 457-5450
(570) 457-1190
Mailing address
101 S MAIN ST, OLD FORGE, PA 18518-1600
(570) 457-5450
(570) 457-1190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414814L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431934-0001-24
—
PA
Enumeration date
08/22/2006
Last updated
08/22/2020
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