Provider Demographics
NPI:1518508811
Name:SMULIK, PAULA A (PHARM D)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:SMULIK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 INDIAN SPRINGS RD STE 125
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3676
Mailing Address - Country:US
Mailing Address - Phone:724-944-3710
Mailing Address - Fax:724-463-9300
Practice Address - Street 1:280 INDIAN SPRINGS RD STE 125
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-463-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045500L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist