Healthcare Provider Details

I. General information

NPI: 1013057504
Provider Name (Legal Business Name): SLOPE DRUGS AND SURGICAL SUPPLY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 5TH AVE
BROOKLYN NY
11215-3316
US

IV. Provider business mailing address

406 5TH AVE
BROOKLYN NY
11215-3316
US

V. Phone/Fax

Practice location:
  • Phone: 718-788-8899
  • Fax: 718-768-4688
Mailing address:
  • Phone: 718-788-8899
  • Fax: 718-768-4688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number019843
License Number StateNY

VIII. Authorized Official

Name: MR. AJAY M PATEL
Title or Position: PRESIDENT
Credential: RPH
Phone: 718-788-8899