# FALLBROOK PHARMACY INC II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023053261
- **Authorized official:** RICHARD CLEMENTS (CFO)
- **Authorized official phone:** (760) 728-3182

## Contact information

- **Practice address:** 343 E ALVARADO ST, STE B, FALLBROOK, CA 92028-2966
- **Practice address phone:** (760) 728-3182
- **Practice address fax:** (760) 728-2398
- **Mailing address:** 343 E ALVARADO ST, STE B, FALLBROOK, CA 92028-2966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY39905 | CA | Yes |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5621998 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |