Samantha Leigh Slate

NPI #1407510175 in Tallmadge, Ohio

Provider Information

NPI Number: 1407510175
Entity Type: Individual
Name: Samantha Leigh Slate
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 28, 2021
Last Updated: Oct 28, 2021

Practice Location

Address: 205 WEST AVENUE
Address 2: PHARMACY
City: Tallmadge
State: Ohio
ZIP Code: 44278
Phone: (330) 634-0688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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