Provider Demographics
NPI:1093083537
Name:CAPONE, CAROLINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:CAPONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:VELIKOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4513 GREENWOOD AVE N
Mailing Address - Street 2:APT 5
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-2302
Mailing Address - Country:US
Mailing Address - Phone:419-957-1547
Mailing Address - Fax:
Practice Address - Street 1:7320 216TH ST SW
Practice Address - Street 2:SUITE 100
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8006
Practice Address - Country:US
Practice Address - Phone:425-673-3700
Practice Address - Fax:425-673-3717
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60234461183500000X
OH03331191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist