Provider Demographics
NPI:1851465389
Name:FINDLEYS PHARMACY INC
Entity Type:Organization
Organization Name:FINDLEYS PHARMACY INC
Other - Org Name:FINDLEYS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIFEBO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:814-445-7939
Mailing Address - Street 1:136 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-2038
Mailing Address - Country:US
Mailing Address - Phone:814-445-7939
Mailing Address - Fax:814-445-9215
Practice Address - Street 1:136 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2038
Practice Address - Country:US
Practice Address - Phone:814-445-7939
Practice Address - Fax:814-445-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP410758L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000579240002Medicaid
3926411OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3926411OtherNCPDP PROVIDER IDENTIFICATION NUMBER