Provider Demographics
NPI:1538423298
Name:WELFLEY PHARMACY INC
Entity type:Organization
Organization Name:WELFLEY PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAGNOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-474-8343
Mailing Address - Street 1:722 ALLEGHENY ST
Mailing Address - Street 2:STE 1
Mailing Address - City:DAUPHIN
Mailing Address - State:PA
Mailing Address - Zip Code:17018-8902
Mailing Address - Country:US
Mailing Address - Phone:717-474-8343
Mailing Address - Fax:717-474-8326
Practice Address - Street 1:722 ALLEGHENY ST
Practice Address - Street 2:STE 1
Practice Address - City:DAUPHIN
Practice Address - State:PA
Practice Address - Zip Code:17018-8902
Practice Address - Country:US
Practice Address - Phone:717-474-8343
Practice Address - Fax:717-474-8326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X
PAPP411726L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135751OtherPK