Organization
GRAND CANYON ACQUISITION CO LLC
Active
Parent organization
CAPSULE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPSULE CORPORATION
Authorized official
MR. ERIC KINARIWALA (SOLE MANAGER)
(888) 685-9515
Entity
Organization
Contact information
Practice address
100 E CAMELBACK RD STE 112, PHOENIX, AZ 85012-1061
(602) 584-5158
(646) 934-6409
Mailing address
122 W 146TH ST, NEW YORK, NY 10039-3802
(888) 685-9515
(646) 934-6409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/06/2022
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