Provider Demographics
NPI:1851690440
Name:CAPSULE PHARMACY CORP
Entity Type:Organization
Organization Name:CAPSULE PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PD
Authorized Official - Prefix:
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-246-5300
Mailing Address - Street 1:2219 W HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1108
Mailing Address - Country:US
Mailing Address - Phone:954-246-5300
Mailing Address - Fax:954-246-5301
Practice Address - Street 1:2219 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1108
Practice Address - Country:US
Practice Address - Phone:954-246-5300
Practice Address - Fax:954-246-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25348333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy