Sloandale Enterprises
NPI #1720452824 in Titusville, Pennsylvania
Provider Information
- NPI Number
- 1720452824
- Entity Type
- Organization
- Organization Name
- Sloandale Enterprises
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 30, 2015
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 206 S MARTIN ST
- City
- Titusville
- State
- Pennsylvania
- ZIP Code
- 16354-1851
- Phone
- (814) 827-1849
Authorized Official
- Name
- CLYDE WILLEY
- Title
- OWNER
- Phone
- (814) 827-1849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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