Healthcare Provider Details
I. General information
NPI: 1831161389
Provider Name (Legal Business Name): STANLEY JOSEPH FALENSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 PRIMROSE LN
EAST BERLIN PA
17316-8505
US
IV. Provider business mailing address
2322 WEDGEWOOD WAY
YORK PA
17404-9463
US
V. Phone/Fax
- Phone: 717-259-6598
- Fax: 717-259-5439
- Phone: 717-792-4405
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP026756L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: