Overview
Name: THE VACCINE SHOPPE, LLC
Specialty: Non-Pharmacy Dispensing Site
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Suppliers
Classification: Non-Pharmacy Dispensing Site
Specialization: .
Definition of Specialty: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: THE VACCINE SHOPPE, LLC,205 BUTLER ST,PITTSTON,PA,18640,US
Mailing Address: THE VACCINE SHOPPE, LLC,205 BUTLER ST,PITTSTON,PA,18640,US
Contact #
Practice location phone #: 5707629132
Practice location fax #:
Mailing address Phone #: 5707629132
Mailing Address fax #:
Authorized official Name/Telephone #:JUDE, POLIT-MORAN, PRESIDENT 5707188406
Misc
Date NPI was obtained: 02/14/2022
Last data data was updated: 02/14/2022
Insurances: