Healthcare Provider Details

I. General information

NPI: 1285254763
Provider Name (Legal Business Name): CAPSULE DENVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 WAZEE ST STE 103
DENVER CO
80202-5952
US

IV. Provider business mailing address

122 W 146TH ST
NEW YORK NY
10039-3802
US

V. Phone/Fax

Practice location:
  • Phone: 303-223-2502
  • Fax: 646-934-6409
Mailing address:
  • Phone: 888-685-9515
  • Fax: 646-934-6409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERIC KINARIWALA
Title or Position: SOLE MEMBER
Credential:
Phone: 888-685-9515