Provider Demographics
NPI:1376828574
Name:SLOANE, BERNARD LOUIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:LOUIS
Last Name:SLOANE
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 1:32423 BELMONTE DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3501
Mailing Address - Country:US
Mailing Address - Phone:302-644-1999
Mailing Address - Fax:
Practice Address - Street 1:32423 BELMONTE DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3501
Practice Address - Country:US
Practice Address - Phone:302-644-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist