| NPI | 1730611419 |
|---|---|
| Doing Business As | VICKERY VACCINE SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMES H VICKERY Owner/Pharmacist 215-348-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA OS007466L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI000001) |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services (Licence: PA OS007466L) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-11-20 |