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General NPI Number Information
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NPI Number | 1619273687
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Entity Type | Organization
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Legal Business Name | CAPITOL PHARMACY INC
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 4220 FLORIN RD # 111
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City | SACRAMENTO
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State | CA
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Zip | 95823-2508
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Country | US
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Telephone | 916-231-0277
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Fax | 916-231-0330
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Provider Business Mailing Address
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Address Line | 2923 W CAPITOL AVE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-2910
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Country | US
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Telephone | 916-617-4321
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Fax | 916-617-2727
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | THOMAS BUI
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Credential |
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Telephone | 916-617-4321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY50589
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License Number State | CA
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