Organization
SHORECARE VACCINES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL KANTOR PHARM D. (OWNER)
(443) 617-2576
Entity
Organization
Contact information
Practice address
31182 VICTOR RD, MILLVILLE, DE 19967-6720
(443) 617-2576
Mailing address
31182 VICTOR RD, MILLVILLE, DE 19967-6720
(443) 617-2576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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