Provider Demographics
NPI:1699955591
Name:SLAYTON, SUNAO AKASHI (PHARM D)
Entity type:Individual
Prefix:
First Name:SUNAO
Middle Name:AKASHI
Last Name:SLAYTON
Suffix:
Gender:F
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 1:30 SHELBURNE RD
Mailing Address - Street 2:STAMFORD HOSPITAL BENNETT MEDICAL ONCOLOGY & HEMATOLOGY
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3628
Mailing Address - Country:US
Mailing Address - Phone:203-325-2695
Mailing Address - Fax:203-975-7842
Practice Address - Street 1:30 SHELBURNE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3628
Practice Address - Country:US
Practice Address - Phone:203-325-2695
Practice Address - Fax:203-975-7842
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0011819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist