Provider Demographics
NPI:1154981231
Name:CAPSTONE HEALTH INC
Entity type:Organization
Organization Name:CAPSTONE HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:XIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-784-6853
Mailing Address - Street 1:13668 ROOSEVELT AVE STE 605
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5510
Mailing Address - Country:US
Mailing Address - Phone:212-784-6853
Mailing Address - Fax:212-666-3466
Practice Address - Street 1:13668 ROOSEVELT AVE STE 605
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5510
Practice Address - Country:US
Practice Address - Phone:212-784-6853
Practice Address - Fax:212-666-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy