Provider Demographics
NPI:1457600892
Name:CAPPELLO, LOUIS J (RPH)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:J
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 1:10317 OCEAN HWY
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-6520
Mailing Address - Country:US
Mailing Address - Phone:843-237-4036
Mailing Address - Fax:843-237-2736
Practice Address - Street 1:10317 OCEAN HWY
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-6520
Practice Address - Country:US
Practice Address - Phone:843-237-4036
Practice Address - Fax:843-237-2736
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10897183500000X
PARP026824L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist