Provider Demographics
NPI:1114337680
Name:SLADKIN, NEILL ROBERT WILLIAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEILL
Middle Name:ROBERT WILLIAM
Last Name:SLADKIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 S CENTER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48519-1147
Mailing Address - Country:US
Mailing Address - Phone:810-744-9710
Mailing Address - Fax:
Practice Address - Street 1:2333 S CENTER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48519-1147
Practice Address - Country:US
Practice Address - Phone:810-744-9710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020373121835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy