# SHORECARE VACCINES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902670912
- **Authorized official:** GABRIEL KANTOR PHARM D. (OWNER)
- **Authorized official phone:** (443) 617-2576

## Contact information

- **Practice address:** 31182 VICTOR RD, MILLVILLE, DE 19967-6720
- **Practice address phone:** (443) 617-2576
- **Mailing address:** 31182 VICTOR RD, MILLVILLE, DE 19967-6720
- **Mailing address phone:** (443) 617-2576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2023
- **Last updated:** 11/09/2023