Provider Demographics
NPI:1306618228
Name:SCHWARZENEGGER, SLOAN
Entity type:Individual
Prefix:
First Name:SLOAN
Middle Name:
Last Name:SCHWARZENEGGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8413 CAMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3233
Mailing Address - Country:US
Mailing Address - Phone:704-577-5416
Mailing Address - Fax:
Practice Address - Street 1:7715 REGENCY PARK DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8938
Practice Address - Country:US
Practice Address - Phone:704-892-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician