Organization
SHORE INTEGRATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE TALLENT PHARMD (PHARMACIST/OWNER)
(412) 523-3402
Entity
Organization
Contact information
Practice address
508 IDLEWILD AVE STE 5, EASTON, MD 21601-3834
(443) 339-9713
Mailing address
PO BOX 1207, EASTON, MD 21601-8924
(443) 339-9713
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10112022
—
MD
Enumeration date
10/11/2022
Last updated
10/11/2022
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