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Organization

THE VACCINE SHOPPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDE POLIT-MORAN (PRESIDENT)
(570) 718-8406
Entity
Organization

Contact information

Practice address
205 BUTLER ST, PITTSTON, PA 18640
(570) 762-9132
Mailing address
205 BUTLER ST, PITTSTON, PA 18640
(570) 762-9132

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
02/14/2022
Last updated
02/14/2022
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