MEDICARE: CHERILYN CAPASSO PHARMD

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
1	183500000X	Pharmacist	PS58091	FL

General Provider Information

NPI Number	:	1548749138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERILYN CAPASSO PHARMD

Provider Business Mailing Address
First Line	:	2925 TRAVERSE TRL
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32163-2017
Country	:	US
Telephone Number	:	352-750-2714
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 TRAVERSE TRL
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32163-2017
Country	:	US
Telephone Number	:	352-750-2714
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	08/14/2018

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Directions to “ CHERILYN CAPASSO PHARMD” Practice Location

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