MEDICARE: SLOAN'S PHARMACY, INC

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	PP412313L	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PP412313L	OTHER	PA	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3900431	OTHER	PA	NCPDP

General Provider Information

NPI Number	:	1043322480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLOAN'S PHARMACY, INC

Provider Business Mailing Address
First Line	:	61 E MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-1424
Country	:	US
Telephone Number	:	717-653-4001
Fax Number	:	855-521-1339

Provider Business Practice Location Address
First Line	:	61 E MAIN ST
Second Line	:
City	:	MOUNT JOY
State	:	PA
Zip	:	17552-1424
Country	:	US
Telephone Number	:	717-653-4001
Fax Number	:	717-653-1247

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JACOB M SHERK
Credential	:	RPH
Telephone Number	:	717-653-4001

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/23/2025

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