Provider Demographics
NPI:1437100476
Name:SLADE, ANN RECTOR (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:RECTOR
Last Name:SLADE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8300 N CRESTWYCK CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3211
Mailing Address - Country:US
Mailing Address - Phone:919-847-9911
Mailing Address - Fax:919-715-7706
Practice Address - Street 1:2501 MAIL SERVICE CTR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27699-2501
Practice Address - Country:US
Practice Address - Phone:919-647-8150
Practice Address - Fax:919-715-7706
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC6381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist