Slbtj

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5315028304 Issued in MI

Legal business name

SLBTJ

Practice address

16101 Mack Ave
Detroit, MI 48224-3644

Phone

(313) 881-3188

Fax

(313) 881-3128

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlene Williams

Title

Owner

Phone

(313) 881-3188

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

S L B T J Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Slbtj Pharmacy

  • Pharmacy
  • Detroit, MI
  • NPI 1972795854
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1023160371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243644",
            "telephone_number": "313-881-3188",
            "fax_number": "313-881-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLBTJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-881-3188"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5315028304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2369367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2369367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorian James Slaughter
• Joseph Slaughter
• Tamika Slaughter
• Tawana Latrice Slay, BSW
• Erica Slayton
• Slbtj Pharmacy
• Thomas F Slebodnik, PA-C
• Carolyn Ashley Sledz, AGPCNP-BC
• Khaled M Sleik, MD FRCPC
• Gina Sleilati, MD

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.