Provider Demographics
NPI:1619361250
Name:PATULA, JOHN F (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:PATULA
Suffix:
Gender:M
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 1:9635 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-7161
Mailing Address - Country:US
Mailing Address - Phone:814-643-3661
Mailing Address - Fax:
Practice Address - Street 1:9635 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-7161
Practice Address - Country:US
Practice Address - Phone:814-643-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-21
Last Update Date:2015-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist