Healthcare Provider Details

I. General information

NPI: 1285702944
Provider Name (Legal Business Name): CAPITOL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 HARBOR BLVD STE 600
WEST SACRAMENTO CA
95691-5027
US

IV. Provider business mailing address

1250 HARBOR BLVD STE 600
WEST SACRAMENTO CA
95691-5027
US

V. Phone/Fax

Practice location:
  • Phone: 916-617-4321
  • Fax:
Mailing address:
  • Phone: 916-617-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: THOMAS BUI
Title or Position: PRESIDENT
Credential: PHARMD.
Phone: 916-617-4321