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FALLON CALLAHAN
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1609358050
Individual Registrant: FALLON CALLAHAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
136 SAMSON ROCK DRIVE MADISON, CT 06413 US
Tel: 203-245-7467 Fax: --
Tel: 203-245-7467 Fax: --
Contact information for business:
63 BEECH TREE RIDGE KILLINGWORTH, CT 06419 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1609358050
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CT | PCT.0014578 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
