| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Peter J. Capitano | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Peter | [sources] | |||
| ID Number | PP414814L · RP036402R | [sources] | |||
| Last name | Capitano | [sources] | |||
| Middle name | J. | [sources] | |||
| NPI | 1477636421 | [sources] | |||
| Title | RPh | [sources] | |||
| Address | Luzerne, PA · Schuylkill, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
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| Address | ||
|---|---|---|
| Full address | Country | |
| LUZERNE, PA · Luzerne, PA | United States | |
| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Capitano's Pharmacy Debarred entity | - | - | - | |
| United States |