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FALLON CALLAHAN

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1609358050

Individual Registrant:
 FALLON  CALLAHAN 
Gender: F
Sole Proprietor

Location and contact information for practice:
136 SAMSON ROCK DRIVE  MADISON, CT 06413 US
Tel: 203-245-7467  Fax: --

Contact information for business:
63 BEECH TREE RIDGE  KILLINGWORTH, CT 06419 US
Tel: --  Fax: --

Registration Information:
NPI: 1609358050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CTPCT.0014578

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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