The Vaccine Shoppe, LLC
NPI #1194470682 in Pittston, Pennsylvania
Provider Information
- NPI Number
- 1194470682
- Entity Type
- Organization
- Organization Name
- The Vaccine Shoppe, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 14, 2022
- Last Updated
- Feb 14, 2022
Practice Location
- Address
- 205 BUTLER ST
- City
- Pittston
- State
- Pennsylvania
- ZIP Code
- 18640
- Phone
- (570) 762-9132
Authorized Official
- Name
- JUDE POLIT-MORAN
- Title
- PRESIDENT
- Phone
- (570) 718-8406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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