Organization · Type 2 NPI
The Vaccine Shoppe, LLC
Community Health Clinic/Center · Pittston, PA
NPI number
1336895796
Active
Practice location
205 Butler Street
Pittston, PA 18640
Mailing address
200 York Ave
West Pittston, PA 18643-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
| Non-Pharmacy Dispensing Site | 332900000X | None listed |
Community Health Clinic/Center: Definition to come...
About NPI 1336895796
The Vaccine Shoppe, LLC's National Provider Identifier is 1336895796, issued on Feb 24, 2022. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Pittston, PA. The record was last updated on Feb 24, 2022.