Healthcare Provider Details
I. General information
NPI: 1043322480
Provider Name (Legal Business Name): SLOAN'S PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
61 E MAIN ST
MOUNT JOY PA
17552-1424
US
IV. Provider business mailing address
61 E MAIN ST
MOUNT JOY PA
17552-1424
US
V. Phone/Fax
- Phone: 717-653-4001
- Fax: 717-653-1247
- Phone: 717-653-4001
- Fax: 855-521-1339
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PP412313L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JACOB
M
SHERK
Title or Position: OWNER/PRESIDENT
Credential: RPH
Phone: 717-653-4001