Provider Demographics
NPI:1790938850
Name:SLAUGHTER, KIMBERLEY ALDERMAN (RPH)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:ALDERMAN
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KIMBERLEY
Other - Middle Name:JEANNE
Other - Last Name:ALDERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1970 ROANOKE BLVD
Mailing Address - Street 2:SALEM VA MEDICAL CENTER
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6404
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:SALEM VA MEDICAL CENTER
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist