# FALKS WOODLAND PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FALKS LIGNELL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013991223
- **Authorized official:** STEVEN PRESTON RPH (OWNER)
- **Authorized official phone:** (218) 525-9850

## Contact information

- **Practice address:** 69 N 28TH ST E, STE 36, SUPERIOR, WI 54880-6596
- **Practice address phone:** (715) 392-4722
- **Practice address fax:** (715) 395-2204
- **Mailing address:** 1 E CALVARY RD, DULUTH, MN 55803-1514
- **Mailing address phone:** (218) 740-4562
- **Mailing address fax:** (218) 728-9124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 760742 | WI | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 09/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 33215500 | — | WI |
| 01 | — | 5123144 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |