Organization
JOHN R SLAGLE
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SLAGLE (OWNER)
(814) 226-9310
Entity
Organization
Contact information
Practice address
100 LIBERTY ST, CLARION, PA 16214-1808
(814) 226-9310
Mailing address
100 LIBERTY ST, CLARION, PA 16214-1808
(814) 226-9310
(814) 226-9329
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772724210005
—
PA
Enumeration date
03/05/2019
Last updated
03/05/2019
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