Individual
KYLE VAITUKAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19869 SEA BLOSSOM BLVD, REHOBOTH BEACH, DE 19971-7142
(302) 226-7791
Mailing address
10620 PINE NEEDLE RD, OCEAN CITY, MD 21842-4838
(410) 982-7300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24206
MD
183500000X
Pharmacist
A1-0004965
DE
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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