Individual
FALLAN R OVRUTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1812 MARSH RD, WILMINGTON, DE 19810-4581
(302) 475-4265
Mailing address
233 FAIRMOUNT AVE, UNIT B, PHILADELPHIA, PA 19123-2929
(215) 485-2941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
A1-0004190
DE
183500000X
Pharmacist
Primary
RP445941
PA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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