Organization
VAXCLINIC, LLC
Active
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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