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Organization
FALKS WOODLAND PHARMACY INC
Active
Organization
FALKS WOODLAND PHARMACY INC
Active
Other names
FALKS LIGNELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PRESTON RPH (OWNER)
(218) 525-9850
Entity
Organization
Contact information
Practice address
69 N 28TH ST E, STE 36, SUPERIOR, WI 54880-6596
(715) 392-4722
(715) 395-2204
Mailing address
1 E CALVARY RD, DULUTH, MN 55803-1514
(218) 740-4562
(218) 728-9124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
760742
WI
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33215500
—
WI
01
—
5123144
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2005
Last updated
09/28/2010
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