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Organization

JOHN R. SLAGLE

Active
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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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