Healthcare Provider Details

I. General information

NPI: 1629379797
Provider Name (Legal Business Name): VACCINATIONS NOW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HORIZON DR SUITE 120
CHALFONT PA
18914-3966
US

IV. Provider business mailing address

1500 HORIZON DR SUITE 120
CHALFONT PA
18914-3966
US

V. Phone/Fax

Practice location:
  • Phone: 215-996-1400
  • Fax: 267-308-0533
Mailing address:
  • Phone: 215-996-1400
  • Fax: 267-308-0533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberMD022600L
License Number StatePA

VIII. Authorized Official

Name: MR. SIEVERT LARSSON
Title or Position: CEO
Credential:
Phone: 215-996-1400