Individual
FALLON CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 SAMSON ROCK DRIVE, MADISON, CT 06413
(203) 245-7467
Mailing address
63 BEECH TREE RIDGE, KILLINGWORTH, CT 06419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014578
CT
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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