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JOHN R SLAGLE NPI 1770676959


NPI Information

NPI: 1770676959
Provider Name: JOHN R SLAGLE

Doing Business As: TIONESTA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
105 FAULKNER DRIVE
TIONESTA, PA
ZIP 16353
Phone: (814) 755-3557
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JOHN R SLAGLE is a community/retail pharmacy pharmacy in Tionesta, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JOHN R SLAGLE NPI is 1770676959. The provider is registered as an organization entity type.
The provider Is Doing Business As Tionesta Pharmacy.

The provider's business location address is:

105 FAULKNER DRIVE
TIONESTA, PA
ZIP 16353
Phone: (814) 755-3557
Fax: (814) 755-3648

The provider's authorized official is John Slagle .
The authorized official title is Owner and has the following contact phone number (814) 782-6215.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 4/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPP413809LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12085419OTHERPK
21272690001MEDICARE NSC
31007724210004MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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