MEDICARE: PAULA GEORGE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP034053L	PA

General Provider Information

NPI Number	:	1215050356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA GEORGE RPH

Provider Business Mailing Address
First Line	:	56 FARMVIEW DR
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-5275
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4164 NATIONAL PIKE
Second Line	:
City	:	FARMINGTON
State	:	PA
Zip	:	15437-1344
Country	:	US
Telephone Number	:	724-329-4620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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