Provider Demographics
NPI:1215050356
Name:GEORGE, PAULA (RPH)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:BENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:56 FARMVIEW DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5275
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4164 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:PA
Practice Address - Zip Code:15437-1344
Practice Address - Country:US
Practice Address - Phone:724-329-4620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP034053L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist