MEDICARE: DR. JASON MICHAEL SLOAN 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
1	183500000X	Pharmacist	03-2-26688	OH

General Provider Information

NPI Number	:	1831182401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON MICHAEL SLOAN PHARM D

Provider Business Mailing Address
First Line	:	480 CRESTMONT CT
Second Line	:	APT D
City	:	COPLEY
State	:	OH
Zip	:	44321-2957
Country	:	US
Telephone Number	:	330-665-1079
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 SAND RUN RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-6200
Country	:	US
Telephone Number	:	330-864-2138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	07/08/2007

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