Provider Demographics
NPI:1417433079
Name:CIPPEL, PAULA HAINES (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:HAINES
Last Name:CIPPEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 FORD ST
Mailing Address - Street 2:
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-1229
Mailing Address - Country:US
Mailing Address - Phone:724-763-1201
Mailing Address - Fax:724-763-7571
Practice Address - Street 1:313 FORD ST
Practice Address - Street 2:
Practice Address - City:FORD CITY
Practice Address - State:PA
Practice Address - Zip Code:16226-1268
Practice Address - Country:US
Practice Address - Phone:724-763-1201
Practice Address - Fax:724-763-7571
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035959L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist