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Organization

FALKS WOODLAND PHARMACY INC

Active
Other names
FALKS NEWMAN PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN PRESTON RPH (OWNER)
(218) 525-9850
Entity
Organization

Contact information

Practice address
2908 W 3RD ST, DULUTH, MN 55806-1702
(218) 624-5755
(218) 624-1644
Mailing address
1 E CALVARY RD, DULUTH, MN 55803-1514
(218) 740-4562
(218) 728-9124

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
262025
MN
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2424327
NCPDP PROVIDER IDENTIFICATION NUMBER
05
901497700
MN
Enumeration date
12/01/2005
Last updated
07/07/2010
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