Provider Demographics
NPI:1497403539
Name:CAPSULES RX
Entity Type:Organization
Organization Name:CAPSULES RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZLOUMI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:818-261-0097
Mailing Address - Street 1:3828 MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3113
Mailing Address - Country:US
Mailing Address - Phone:818-261-0097
Mailing Address - Fax:
Practice Address - Street 1:3828 MEADOWS LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3113
Practice Address - Country:US
Practice Address - Phone:818-261-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy