Fallon Wellness Pharmacy

LBN: Fallon Wellness Pharmacy
Fallon Wellness Pharmacy is an health care organization with primary practice located at 1057 Troy Schenectady Rd , Latham NY 12110-1002. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Fallon Wellness Pharmacy can be contacted via phone (518) 220-2005, or through Fallon, Peter Lawrence via phone (518) 220-2005.

Contact Information

Primary practice address
1057 Troy Schenectady Rd Latham NY 12110-1002
Phone: (518) 220-2005
Fax: (518) 220-5004
Website:
Map and Directions
Authorized official contact:
Name: Fallon, Peter Lawrence
Phone: (518) 220-2005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 026112 New York

Profile Details

NPI number 1215077532
LBN Legal business name Fallon Wellness Pharmacy
DBA Doing business as
Authorized official Fallon, Peter Lawrence
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215077532 NPPES
New York MEDICAID 02443983

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