National Provider Identifier
Mark Slade
Mark Slade is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 876-2323.
Profile Overview
- NPI
- 1598978421
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 07, 2007
- Last Updated
- September 20, 2023
Practice Location
- 3920 Main St
- Suite 100
- Buffalo, NY 14226
Phone: (716) 876-2323
Mailing Address
- 44 Woodgate Dr
- Lancaster, NY 14086-3269
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1598978421
- Entity Type
- Individual
- Last Name
- Slade
- First Name
- Mark
- Mailing Street Address
- 44 Woodgate Dr
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-3269
- Mailing Country
- US
- Practice Street Address
- 3920 Main St
- Practice Address Line 2
- Suite 100
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14226
- Practice Country
- US
- Practice Phone
- (716) 876-2323
- Enumeration Date
- May 07, 2007
- Last Updated
- September 20, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 20, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)