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NPI Code Detail

MEDICARE: MR. GERALD J SLOTO P.PH

MEDICARE: MR. GERALD J SLOTO P.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP029679LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11306936323OTHERPARITE AID NPI #

General Provider Information

NPI Number : 1780896126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GERALD J SLOTO P.PH
Provider Business Mailing Address
First Line : 4481 COUNTY LINE RD
Second Line :
City : WINFIELD
State : PA
Zip : 17889-8717
Country : US
Telephone Number : 570-743-7064
Fax Number :
Provider Business Practice Location Address
First Line : 2023 LYCOMING CREEK RD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1206
Country : US
Telephone Number : 570-327-9920
Fax Number : 570-327-9927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2007
Last Update Date : 07/08/2007

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