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NPI Code Detail

MEDICARE: MR. STEVEN MALOY SLOCUM RPH

MEDICARE:  MR. STEVEN MALOY SLOCUM  RPH
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
1183500000XPharmacist11451LA

General Provider Information

NPI Number : 1821307042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN MALOY SLOCUM RPH
Provider Business Mailing Address
First Line : 2907 CYPRESS ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5337
Country : US
Telephone Number : 318-323-6710
Fax Number : 318-323-1671
Provider Business Practice Location Address
First Line : 2907 CYPRESS ST
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5337
Country : US
Telephone Number : 318-323-6710
Fax Number : 318-323-1671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2010
Last Update Date : 10/05/2010

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Directions to “ MR. STEVEN MALOY SLOCUM RPH” Practice Location

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