Provider Demographics
NPI:1245273846
Name:FALK, ROBERT CRAIG (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CRAIG
Last Name:FALK
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SPOONDRIFT LN
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-2934
Mailing Address - Country:US
Mailing Address - Phone:207-799-2192
Mailing Address - Fax:207-828-2494
Practice Address - Street 1:331 VERANDA ST
Practice Address - Street 2:MARTIN'S POINT HEALTH CARE
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-5545
Practice Address - Country:US
Practice Address - Phone:207-791-3746
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist