Provider Demographics
NPI:1427370303
Name:FALCONE, ANGELO LOUIS (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:ANGELO
Middle Name:LOUIS
Last Name:FALCONE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WATERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9349
Mailing Address - Country:US
Mailing Address - Phone:732-792-7249
Mailing Address - Fax:732-506-9347
Practice Address - Street 1:860 FISCHER BLVD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3824
Practice Address - Country:US
Practice Address - Phone:732-270-0900
Practice Address - Fax:732-506-9347
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02845300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist