Provider Demographics
NPI:1437481652
Name:CAPPELLO, JOSEPH ANTHONY (BS PHARM, RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:CAPPELLO
Suffix:
Gender:M
Credentials:BS PHARM, RPH
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:ANTHONY
Other - Last Name:CAPPELLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSPHARM, RPH
Mailing Address - Street 1:211 HILDRETH ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2908
Mailing Address - Country:US
Mailing Address - Phone:508-485-3229
Mailing Address - Fax:
Practice Address - Street 1:211 HILDRETH ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-2908
Practice Address - Country:US
Practice Address - Phone:508-485-3229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist