Provider Demographics
NPI:1407148729
Name:SLAVIK, ROBERT F (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:SLAVIK
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 1:351 MARY ST
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-7432
Mailing Address - Country:US
Mailing Address - Phone:814-280-4103
Mailing Address - Fax:
Practice Address - Street 1:1120 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-1359
Practice Address - Country:US
Practice Address - Phone:814-948-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039958L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist