Shorevax LLC
NPI #1972890531 in Sea Girt, New Jersey
Provider Information
- NPI Number
- 1972890531
- Entity Type
- Organization
- Organization Name
- Shorevax LLC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jul 5, 2011
- Last Updated
- Sep 3, 2011
Practice Location
- Address
- 2175 HIGHWAY 35
- City
- Sea Girt
- State
- New Jersey
- ZIP Code
- 08750-1009
- Phone
- (732) 974-2929
Authorized Official
- Name
- FRANK L FARIELLO
- Title
- PARTNER
- Phone
- (732) 974-2929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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