Organization
VAXCLINIC, LLC
Active
Parent organization
VAXCLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAXCLINIC, LLC
Authorized official
DR. SAMANTHA LEE HOWARD PHARMD (PHARMACIST)
(704) 755-5656
Entity
Organization
Contact information
Practice address
4400 PARK RD STE 316, CHARLOTTE, NC 28209-3289
(606) 424-2781
Mailing address
1521 TAMWORTH DR, CHARLOTTE, NC 28210-4109
(606) 424-2781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/22/2020
Last updated
02/22/2023
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