Provider Demographics
NPI:1740593839
Name:FOLEY, PAULA J (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:J
Last Name:FOLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 DESMOND ST
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-2002
Mailing Address - Country:US
Mailing Address - Phone:570-888-2394
Mailing Address - Fax:570-888-4482
Practice Address - Street 1:144 DESMOND ST
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-2002
Practice Address - Country:US
Practice Address - Phone:570-888-2394
Practice Address - Fax:570-888-4482
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042314L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist