Organization
SLAKOPER INC
Active
Other names
MAT'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOWMAN (OWNER/PRESIDENT)
(215) 785-3537
Entity
Organization
Contact information
Practice address
701 BRISTOL PIKE, CROYDON, PA 19021-5495
(215) 785-3537
(215) 781-9995
Mailing address
701 BRISTOL PIKE, CROYDON, PA 19021-5412
(215) 785-3537
(215) 781-9995
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12651090001
—
PA
Enumeration date
10/21/2022
Last updated
08/26/2024
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