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Organization
FALCON HEALTH CENTER LLC
Active
Organization
FALCON HEALTH CENTER LLC
Active
Other names
Falcon Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAROL BORTEL (PRESIDENT)
(419) 354-8860
Entity
Organization
Contact information
Practice address
838 E WOOSTER ST, BOWLING GREEN, OH 43402-3186
(419) 372-7443
(419) 372-7999
Mailing address
WOOD COUNTY HOSPITAL, 950 WEST WOOSTER, BOWLING GREEN, OH 43402
(419) 372-7443
(419) 372-7999
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
022314400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085424
—
OH
01
—
2140134
PK
—
Enumeration date
03/27/2013
Last updated
12/29/2021
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