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Organization
SHOREVAX LLC
Active
Organization
SHOREVAX LLC
Active
Other names
shore vaccine group
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK L FARIELLO (PARTNER)
(732) 974-2929
Entity
Organization
Contact information
Practice address
2175 HIGHWAY 35, SEA GIRT, NJ 08750-1009
(732) 974-2929
Mailing address
2175 HIGHWAY 35, SEA GIRT, NJ 08750-1009
(732) 974-2929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
09/03/2011
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