Organization
VACCINE HIPPO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD COLUMBUS (PRESIDENT)
(866) 829-2968
Entity
Organization
Contact information
Practice address
10040 W CHEYENNE AVE STE 170-146, LAS VEGAS, NV 89129-7719
(866) 829-2968
Mailing address
10040 W CHEYENNE AVE STE 170-146, LAS VEGAS, NV 89129-7719
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/12/2019
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