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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1669088217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL PHARMACY INC

Provider Business Mailing Address
First Line	:	2923 W CAPITOL AVE
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-2910
Country	:	US
Telephone Number	:	916-617-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2923 W CAPITOL AVE
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-2910
Country	:	US
Telephone Number	:	916-617-4321
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THOMAS T. BUI
Credential	:
Telephone Number	:	916-617-4321

Provider Enumeration Date	:	09/18/2020
Last Update Date	:	09/18/2020

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Directions to “CAPITOL PHARMACY INC ” Practice Location

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