Organization
FALLON WELLNESS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA A FALLON PHARMD (SUPERVISING PHARMACIST)
(518) 220-2005
Entity
Organization
Contact information
Practice address
1057 TROY SCHENECTADY RD, LATHAM, NY 12110-1002
(518) 220-2005
(518) 220-5004
Mailing address
1057 TROY SCHENECTADY RD, LATHAM, NY 12110-1002
(518) 220-2005
(518) 220-5004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
052563
NY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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