Organization
CAPPS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY CAPPS RPH. (OWNER)
(270) 864-1606
Entity
Organization
Contact information
Practice address
331 KEEN STREET, BURKESVILLE, KY 42717
(270) 864-1606
(270) 864-1608
Mailing address
331 KEEN STREET, PO BOX 157, BURKESVILLE, KY 42717
(270) 864-1606
(270) 864-1608
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P07024
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54033154
—
KY
Enumeration date
07/28/2005
Last updated
04/24/2012
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