MEDICARE: FALLS RX LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1346805421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALLS RX LLC

Provider Business Mailing Address
First Line	:	4419 FALLS RD STE B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-1295
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4419 FALLS RD STE B
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-1295
Country	:	US
Telephone Number	:	410-878-1031
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	GAYATRI PATEL
Credential	:
Telephone Number	:	410-878-1031

Provider Enumeration Date	:	05/05/2019
Last Update Date	:	08/29/2025

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