NPI | 1316058217 |
---|---|
Doing Business As | VAXCARE |
Entity Type | Organization |
Authorized Contact | BRETT KENEFICK President 888-829-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-10-01 |