Organization
CAP RX INC
Active
Other names
CENTRAL AVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GORDON PHARMD (PRESIDENT)
(831) 373-1225
Entity
Organization
Contact information
Practice address
133 15TH ST, PACIFIC GROVE, CA 93950-2746
(831) 373-1225
(831) 373-3705
Mailing address
133 15TH ST, PACIFIC GROVE, CA 93950-2746
(831) 373-1225
(831) 373-3705
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37397
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003588
PK
—
05
—
PHA373970
—
CA
Enumeration date
09/30/2006
Last updated
02/03/2020
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