Provider Demographics
NPI:1366167793
Name:SLONKA, DENNIS JAMES (PHARMD)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:JAMES
Last Name:SLONKA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 PRINCES HILL AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3025
Mailing Address - Country:US
Mailing Address - Phone:401-252-1239
Mailing Address - Fax:
Practice Address - Street 1:444 WILLETT AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2515
Practice Address - Country:US
Practice Address - Phone:401-433-1120
Practice Address - Fax:401-437-1721
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI22391835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist