MEDICARE: DR. ERIC LASLO PHARM.D.

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
1	183500000X	Pharmacist	RP438055	PA

General Provider Information

NPI Number	:	1881144020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC LASLO PHARM.D.

Provider Business Mailing Address
First Line	:	2000 VILLAGE CENTER DR
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-3844
Country	:	US
Telephone Number	:	724-274-1730
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 VILLAGE CENTER DR
Second Line	:
City	:	TARENTUM
State	:	PA
Zip	:	15084-3844
Country	:	US
Telephone Number	:	724-274-1730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2016
Last Update Date	:	10/12/2016

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