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JL SLOCUM LLC NPI 1306212444


NPI Information

NPI: 1306212444
Provider Name: JL SLOCUM LLC

Doing Business As: OLD FORGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
821 S MAIN ST
SUITE 1
OLD FORGE, PA
ZIP 18518
Phone: (570) 457-3200
Get Directions

JL SLOCUM LLC is a community/retail pharmacy pharmacy in Old Forge, 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. JL SLOCUM LLC NPI is 1306212444. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Old Forge Pharmacy.

The provider's business location address is:

821 S MAIN ST
SUITE 1
OLD FORGE, PA
ZIP 18518-497
Phone: (570) 457-3200
Fax: (570) 457-3220

The provider's authorized official is Lori Ann Slocum .
The authorized official title is Pharmacist and has the following contact phone number (570) 430-1990.

The enumeration date for this NPI number is 8/12/2015 and was last updated on 7/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistRP046173PENNSYLVANIANo
23336C0003XPharmacyCommunity/Retail PharmacyPP482577PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17457150001MEDICARE NSCPENNSYLVANIA

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: 4/28/2024

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