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NPI Code Detail

MEDICARE: EVAN JOHN SLATER PHARMD

MEDICARE: EVAN JOHN SLATER PHARMD
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
11835X0200XOncology Pharmacist16683CO

General Provider Information

NPI Number : 1902311640
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN JOHN SLATER PHARMD
Provider Business Mailing Address
First Line : 4700 HALE PKWY STE 400
Second Line :
City : DENVER
State : CO
Zip : 80220-4051
Country : US
Telephone Number : 303-285-5085
Fax Number : 303-930-5517
Provider Business Practice Location Address
First Line : 4700 HALE PKWY STE 400
Second Line :
City : DENVER
State : CO
Zip : 80220-4051
Country : US
Telephone Number : 303-285-5085
Fax Number : 303-930-5517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 12/04/2017

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Directions to “ EVAN JOHN SLATER PHARMD” Practice Location

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