Healthcare Provider Details

I. General information

NPI: 1962334763
Provider Name (Legal Business Name): ALAN JAMES SLADE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 STONE RIDGE LN
BASKING RIDGE NJ
07920-2900
US

IV. Provider business mailing address

15 STONE RIDGE LN
BASKING RIDGE NJ
07920-2900
US

V. Phone/Fax

Practice location:
  • Phone: 973-626-2387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26021301A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: