Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Peter J. Capitano | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [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 of America · DHS
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Schuylkill, PA | United States of America | |
LUZERNE, PA · Luzerne, PA |
Linked to | ||||
---|---|---|---|---|
Object | Role | Start date | End date | |
Capitano's Pharmacy Debarred entity | - | - | - |
United States of America |