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NPI Code Detail

MEDICARE: DR. STEPHEN ROGER SLINGSBY PHARM.D.

MEDICARE: DR. STEPHEN ROGER SLINGSBY 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
1183500000XPharmacist30469CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RPH30469OTHERCACALIFORNIA BOARD OF PHARMACY

General Provider Information

NPI Number : 1114160819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN ROGER SLINGSBY PHARM.D.
Provider Business Mailing Address
First Line : 5144 GREENTREE CT
Second Line :
City : PLEASANTON
State : CA
Zip : 94566-5935
Country : US
Telephone Number : 925-596-0168
Fax Number : 510-562-5194
Provider Business Practice Location Address
First Line : 1900 DAVIS ST
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-1209
Country : US
Telephone Number : 510-562-6815
Fax Number : 510-562-5194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2009
Last Update Date : 04/09/2009

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