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Individual
PETER L FALLON
Active
Individual
PETER L FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215077532
FALLON WELLNESS PHARMACY
NY
Enumeration date
01/02/2017
Last updated
01/02/2017
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