Provider Demographics
NPI:1780896126
Name:SLOTO, GERALD J (PPH)
Entity type:Individual
Prefix:MR
First Name:GERALD
Middle Name:J
Last Name:SLOTO
Suffix:
Gender:M
Credentials:PPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4481 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17889-8717
Mailing Address - Country:US
Mailing Address - Phone:570-743-7064
Mailing Address - Fax:
Practice Address - Street 1:2023 LYCOMING CREEK RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1206
Practice Address - Country:US
Practice Address - Phone:570-327-9920
Practice Address - Fax:570-327-9927
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029679L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1306936323OtherRITE AID NPI #