# JOHN R SLAGLE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** THE MEDICINE SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407314883
- **Authorized official:** JOHN R SLAGLE (OWNER)
- **Authorized official phone:** (814) 226-9310

## Contact information

- **Practice address:** 100 LIBERTY ST, CLARION, PA 16214-1808
- **Practice address phone:** (814) 226-9310
- **Mailing address:** 100 LIBERTY ST, CLARION, PA 16214-1808
- **Mailing address phone:** (814) 226-9310
- **Mailing address fax:** (814) 226-9329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2019
- **Last updated:** 03/05/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100772724210005 | — | PA |