Provider Demographics
NPI:1316263429
Name:SLAUGHTER, RICHARD (PHARM D)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 SENA DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1627
Mailing Address - Country:US
Mailing Address - Phone:504-837-5187
Mailing Address - Fax:
Practice Address - Street 1:1020 SENA DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-1627
Practice Address - Country:US
Practice Address - Phone:504-837-5187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist