# FALCON HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Falcon Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174866297
- **Authorized official:** KAROL BORTEL (PRESIDENT)
- **Authorized official phone:** (419) 354-8860

## Contact information

- **Practice address:** 838 E WOOSTER ST, BOWLING GREEN, OH 43402-3186
- **Practice address phone:** (419) 372-7443
- **Practice address fax:** (419) 372-7999
- **Mailing address:** WOOD COUNTY HOSPITAL, 950 WEST WOOSTER, BOWLING GREEN, OH 43402
- **Mailing address phone:** (419) 372-7443
- **Mailing address fax:** (419) 372-7999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022314400 | OH | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 12/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0085424 | — | OH |
| 01 | — | 2140134 | PK | — |