Provider Demographics
NPI:1205991874
Name:SZYMKOWIAK, FELIX JOSEPH (RPH)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:JOSEPH
Last Name:SZYMKOWIAK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 TIMBERLANE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658
Mailing Address - Country:US
Mailing Address - Phone:724-238-7336
Mailing Address - Fax:724-238-7336
Practice Address - Street 1:6858 ROUTE 711
Practice Address - Street 2:SUITE 3
Practice Address - City:SEWARD
Practice Address - State:PA
Practice Address - Zip Code:15954
Practice Address - Country:US
Practice Address - Phone:814-446-5536
Practice Address - Fax:814-446-5538
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026766L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005601500003Medicaid
PA0408150001Medicare ID - Type Unspecified