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NPI Code Detail

MEDICARE: CAPITOL PHARMACY INC

MEDICARE: CAPITOL PHARMACY INC
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
13336L0003XLong Term Care Pharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285702944
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITOL PHARMACY INC
Provider Business Mailing Address
First Line : 1250 HARBOR BLVD STE 600
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-5027
Country : US
Telephone Number : 916-617-4321
Fax Number :
Provider Business Practice Location Address
First Line : 1250 HARBOR BLVD STE 600
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-5027
Country : US
Telephone Number : 916-617-4321
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS BUI
Credential : PHARMD.
Telephone Number : 916-617-4321
Provider Enumeration Date : 12/01/2006
Last Update Date : 12/18/2023

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Directions to “CAPITOL PHARMACY INC ” Practice Location

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