NPI | 1275185027 |
---|---|
Doing Business As | FALLSTOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | JEFFREY JOHN PAPAK Owner & Chief Executive Officer 940-631-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |