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NPI Code Detail

MEDICARE: CAPSULE CORPORATION

MEDICARE: CAPSULE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy033944NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12153236OTHERPK

General Provider Information

NPI Number : 1063896215
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPSULE CORPORATION
Provider Business Mailing Address
First Line : 122 W 146TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10039-3802
Country : US
Telephone Number : 888-685-9515
Fax Number : 646-934-6409
Provider Business Practice Location Address
First Line : 122 W 146TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10039-3802
Country : US
Telephone Number : 212-675-3900
Fax Number : 844-965-9882
Authorized Official
Title or Position : PRESIDENT
Name : ERIC KINARIWALA
Credential :
Telephone Number : 888-685-9515
Provider Enumeration Date : 07/17/2015
Last Update Date : 09/06/2022

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Directions to “CAPSULE CORPORATION ” Practice Location

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