OrganizationActive
The Vaccine Shoppe, LLC
NPI 1336895796 · Community Health Clinic/Center · Pittston, PA
Provider details
- NPI number
- 1336895796
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sami Lynn Panek, Manager(570) 762-9132
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Practice location
205 Butler Street
Pittston, PA 18640
Phone: (570) 762-9132
Approximate (ZIP-level) locationGet directions
Mailing address
200 York Ave
West Pittston, PA 18643-2435
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2022-02-24
- Certified
- 2022-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.