Provider Demographics
NPI:1164917308
Name:SLOWIK, JOHN PETER (RPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PETER
Last Name:SLOWIK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 DAGGETT DR
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4672
Mailing Address - Country:US
Mailing Address - Phone:413-237-5189
Mailing Address - Fax:
Practice Address - Street 1:119 DAGGETT DR
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4672
Practice Address - Country:US
Practice Address - Phone:413-747-5524
Practice Address - Fax:413-731-5430
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH218481835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care