Organization
CAP RX LTC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GORDON PHARMD (PRESIDENT)
(831) 324-6800
Entity
Organization
Contact information
Practice address
507 CENTRAL AVE STE C, PACIFIC GROVE, CA 93950-2704
(831) 324-6800
(831) 643-9645
Mailing address
507 CENTRAL AVE, STE. C, PACIFIC GROVE, CA 93950-2704
(831) 324-6800
(831) 643-9645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY55297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167454
PK
—
Enumeration date
12/29/2016
Last updated
02/20/2017
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