Provider Demographics
NPI:1215632294
Name:CAPE PHARMACY LLC
Entity type:Organization
Organization Name:CAPE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-576-6562
Mailing Address - Street 1:2220 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63780-1329
Mailing Address - Country:US
Mailing Address - Phone:573-264-2450
Mailing Address - Fax:573-264-4741
Practice Address - Street 1:2220 MAIN ST
Practice Address - Street 2:
Practice Address - City:SCOTT CITY
Practice Address - State:MO
Practice Address - Zip Code:63780-1329
Practice Address - Country:US
Practice Address - Phone:573-264-2450
Practice Address - Fax:573-264-4741
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPE PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy