The Vaccine Shoppe, LLC
NPI #1336895796 in Pittston, Pennsylvania
Provider Information
- NPI Number
- 1336895796
- Entity Type
- Organization
- Organization Name
- The Vaccine Shoppe, LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 205 BUTLER STREET
- City
- Pittston
- State
- Pennsylvania
- ZIP Code
- 18640
- Phone
- (570) 762-9132
Authorized Official
- Name
- MS. SAMI LYNN KRISTIN PANEK, RPH
- Title
- MANAGER
- Phone
- (570) 762-9132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Clinic/Center |
| Non-Pharmacy Dispensing Site |
| Clinic/Center - Community Health — Community Health |
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