Individual
FALLON PALMA HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
21 S JACKSON ST, SUITE 100, JANESVILLE, WI 53548
(608) 752-7869
(608) 752-6806
Mailing address
1109 TERAPIN TRL, JANESVILLE, WI 53545-7811
(608) 931-0932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15918-40
WI
Other
Enumeration date
05/16/2013
Last updated
11/12/2024
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