MEDICARE: ANNE FALEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	056775	NY

General Provider Information

NPI Number	:	1508121484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE FALEN

Provider Business Mailing Address
First Line	:	6296 ONTARIO CENTER RD
Second Line	:
City	:	ONTARIO
State	:	NY
Zip	:	14519-8643
Country	:	US
Telephone Number	:	315-524-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	6296 ONTARIO CENTER RD
Second Line	:
City	:	ONTARIO
State	:	NY
Zip	:	14519-8643
Country	:	US
Telephone Number	:	315-524-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2012
Last Update Date	:	01/25/2022

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Directions to “ ANNE FALEN ” Practice Location

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