Healthcare Provider Details

I. General information

NPI: 1447894928
Provider Name (Legal Business Name): VACCINE VALET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 HAMPDEN LN STE 214
BETHESDA MD
20814-2930
US

IV. Provider business mailing address

PO BOX 15213
CHEVY CHASE MD
20825-5213
US

V. Phone/Fax

Practice location:
  • Phone: 240-277-4892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EMILY SHEWMAKER
Title or Position: MANAGER
Credential: PHARM.D
Phone: 240-277-4892