Provider Demographics
NPI:1265644793
Name:CAPPELLO, ANTHONY P (RPH)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:P
Last Name:CAPPELLO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 W BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9189
Mailing Address - Country:US
Mailing Address - Phone:610-345-1426
Mailing Address - Fax:610-869-9947
Practice Address - Street 1:849 W BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-9189
Practice Address - Country:US
Practice Address - Phone:610-345-1426
Practice Address - Fax:610-869-9947
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031494L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist