| NPI | 1679131775 |
|---|---|
| Doing Business As | VAXCLINIC |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HOWARD Pharmacist 606-424-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-09-17 |