Organization
FALLON FAMILY DRUG, INC.
Active
Other names
Fallon Family United Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT S. MOULTON R.PH. (PRESIDENT)
(775) 426-9385
Entity
Organization
Contact information
Practice address
325 11TH STREET, NUMBER 2, LOVELOCK, NV 89419
(775) 273-1700
(775) 273-9013
Mailing address
5424 OAKWOOD CIR, FALLON, FALLON, NV 89406-4272
(775) 426-9385
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NV
Other
Enumeration date
11/03/2006
Last updated
09/06/2011
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