Provider Demographics
NPI:1114180585
Name:FRIENDLY CITY PHARMACY, INC
Entity Type:Organization
Organization Name:FRIENDLY CITY PHARMACY, INC
Other - Org Name:FRIENDLY CITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARSHEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-266-5441
Mailing Address - Street 1:81 OSBORNE ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4130
Mailing Address - Country:US
Mailing Address - Phone:814-539-7995
Mailing Address - Fax:814-534-0864
Practice Address - Street 1:81 OSBORNE ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4130
Practice Address - Country:US
Practice Address - Phone:814-539-7995
Practice Address - Fax:814-534-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414720L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy