Provider Demographics
NPI:1023005741
Name:CAPUTI, MARY VIRGINIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:VIRGINIA
Last Name:CAPUTI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 PINELAND DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-6332
Mailing Address - Country:US
Mailing Address - Phone:941-235-2710
Mailing Address - Fax:
Practice Address - Street 1:21281 GRAYTON TER
Practice Address - Street 2:DOUGLAS T. JACOBSON STATE VETERANS NURSING HOME
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33954-3109
Practice Address - Country:US
Practice Address - Phone:941-235-2710
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 219841835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy