Organization
JOHN R. SLAGLE
Active
Other names
sheffield pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CUSSINS (MANAGER)
(814) 968-3636
Entity
Organization
Contact information
Practice address
27 S MAIN ST, SHEFFIELD, PA 16347
(814) 968-3636
Mailing address
27 S MAIN ST, SHEFFIELD, PA 16347
(814) 968-3636
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412268L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007724210003
—
PA
Enumeration date
10/02/2006
Last updated
09/17/2009
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