| NPI | 1326582776 |
|---|---|
| Doing Business As | SHORELINE INTEGRATIVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHILLIP HEIN Owner, Managing Member, AO 203-451-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY2342) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2019-06-04 |