MEDICARE: MRS. JULIE ANN FALK PHARMD

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	RPH4727	ND

General Provider Information

NPI Number	:	1386368181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE ANN FALK PHARMD

Provider Business Mailing Address
First Line	:	PO BOX 160
Second Line	:
City	:	HANKINSON
State	:	ND
Zip	:	58041-0160
Country	:	US
Telephone Number	:	701-242-7414
Fax Number	:	701-242-7173

Provider Business Practice Location Address
First Line	:	323 MAIN AVE S
Second Line	:
City	:	HANKINSON
State	:	ND
Zip	:	58041-4100
Country	:	US
Telephone Number	:	701-242-7414
Fax Number	:	701-242-7173

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

Provider Enumeration Date	:	09/27/2022
Last Update Date	:	09/27/2022

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