Organization
JOHN R SLAGLE
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SLAGLE RPH (OWNER)
(814) 226-9310
Entity
Organization
Contact information
Practice address
100 LIBERTY ST, CLARION, PA 16214-1808
(814) 226-9310
(814) 226-9329
Mailing address
100 LIBERTY ST, CLARION, PA 16214-1808
(814) 226-9310
(814) 226-9329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP414620L
PA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007724210005
—
PA
01
—
2122663
PK
—
Enumeration date
08/16/2005
Last updated
09/19/2025
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