Organization
CAPITANO PHARMACEUTICAL SERVICES INC
Active
Organization
CAPITANO PHARMACEUTICAL SERVICES INC
Active
Other names
CAPITANO'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CAPITANO (OWNER PHCST)
(570) 237-6376
Entity
Organization
Contact information
Practice address
821 S MAIN ST, STE 1, OLD FORGE, PA 18518-1497
(570) 457-5450
(570) 457-1190
Mailing address
821 S MAIN ST, STE 1, OLD FORGE, PA 18518-1497
(570) 457-5450
(570) 457-1190
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP414814L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431934
—
PA
01
—
3967429
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/23/2006
Last updated
02/14/2012
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