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FALLON WELLNESS PHARMACY

Medical Equipment Supplier Yellow Pages

Latham, New York

Provider NPI: 1215077532

Organization Information:
Organization Name:  FALLON WELLNESS PHARMACY


Practice Location:
1057 TROY SCHENECTADY RD  LATHAM, NY 12110 US
Tel: 518-220-2005  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
NY026112

Other Provider Identifiers:

IssuerNumberStateType
02443983NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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