Organization
FALKS WOODLAND PHARMACY INC
Active
Other names
FALKS SPIRIT VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PRESTON RPH (OWNER)
(218) 525-9850
Entity
Organization
Contact information
Practice address
5300 BRISTOL ST, DULUTH, MN 55807-2903
(218) 624-1222
(218) 624-1555
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
262404
MN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006605200
—
MN
01
—
2426066
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/30/2005
Last updated
07/07/2010
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