Provider Demographics
NPI:1770806929
Name:CAPOZZI, MARIANGELA K (RPH)
Entity type:Individual
Prefix:MS
First Name:MARIANGELA
Middle Name:K
Last Name:CAPOZZI
Suffix:
Gender:F
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:CVS PHARMACY 789 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2946
Mailing Address - Country:US
Mailing Address - Phone:585-271-5031
Mailing Address - Fax:585-241-9942
Practice Address - Street 1:CVS PHARMACY 789 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2946
Practice Address - Country:US
Practice Address - Phone:585-271-5031
Practice Address - Fax:585-241-9942
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037427-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist