Healthcare Provider Details

I. General information

NPI: 1205304094
Provider Name (Legal Business Name): FALCON PHARMACY INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 09/13/2020
Certification Date: 09/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S HIGH ST
HILLSBORO OH
45133-1442
US

IV. Provider business mailing address

119 S HIGH ST
HILLSBORO OH
45133-1442
US

V. Phone/Fax

Practice location:
  • Phone: 937-840-0136
  • Fax: 937-840-0348
Mailing address:
  • Phone: 937-840-0136
  • Fax: 937-840-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GARY M BARR
Title or Position: OWNER
Credential: PHARMD
Phone: 937-382-0081