Provider Demographics
NPI:1295533602
Name:CAPITAL CITY PHARMACY
Entity type:Organization
Organization Name:CAPITAL CITY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:METU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:707-644-2272
Mailing Address - Street 1:339 GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-5906
Mailing Address - Country:US
Mailing Address - Phone:707-644-2272
Mailing Address - Fax:707-644-2338
Practice Address - Street 1:339 GEORGIA ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-5906
Practice Address - Country:US
Practice Address - Phone:707-644-2272
Practice Address - Fax:707-644-2338
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL CITY PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy