Provider Demographics
NPI:1700658226
Name:SLAKOPER, JOHN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:SLAKOPER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BRISTOL PIKE
Mailing Address - Street 2:
Mailing Address - City:CROYDON
Mailing Address - State:PA
Mailing Address - Zip Code:19021-5412
Mailing Address - Country:US
Mailing Address - Phone:215-785-3537
Mailing Address - Fax:215-781-9995
Practice Address - Street 1:701 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:CROYDON
Practice Address - State:PA
Practice Address - Zip Code:19021-5412
Practice Address - Country:US
Practice Address - Phone:215-785-3537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist