Provider Demographics
NPI:1124493747
Name:CAPSTONE PHARMACY
Entity type:Organization
Organization Name:CAPSTONE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FOSTER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-686-5113
Mailing Address - Street 1:156 3RD AVENUE
Mailing Address - Street 2:
Mailing Address - City:NAUVOO
Mailing Address - State:AL
Mailing Address - Zip Code:35578
Mailing Address - Country:US
Mailing Address - Phone:205-724-9053
Mailing Address - Fax:
Practice Address - Street 1:156 3RD AVENUE
Practice Address - Street 2:
Practice Address - City:NAUVOO
Practice Address - State:AL
Practice Address - Zip Code:35578
Practice Address - Country:US
Practice Address - Phone:205-724-9053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPSTONE RURAL HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-08
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy