Healthcare Provider Details

I. General information

NPI: 1386967594
Provider Name (Legal Business Name): ROBERT J CAPRIOLI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2010
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

362 SCHOOLHOUSE RD
STAATSBURG NY
12580-6243
US

IV. Provider business mailing address

362 SCHOOLHOUSE RD
STAATSBURG NY
12580-6243
US

V. Phone/Fax

Practice location:
  • Phone: 845-266-4584
  • Fax:
Mailing address:
  • Phone: 845-266-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number026952
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: