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Contact Information

JOHN R SLAGLE
105 FAULKNER DRIVE
TIONESTA, PA16353
 Phone: 814-755-3557
 Fax: 814-755-3648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for JOHN R SLAGLE

NPI # 1770676959
LBN Legal business name JOHN R SLAGLE
Authorized official JOHN SLAGLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 04/20/2016 - About 10 years ago
Identifiers
PA License # PP413809L
PA Medicaid 1007724210004
Other 2085419 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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