Terrance Tyrone Fahlenkamp, PHARMACIST

NPI #1871861948 in Geneseo, Illinois

Provider Information

NPI Number: 1871861948
Entity Type: Individual
Name: Terrance Tyrone Fahlenkamp, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Dec 5, 2011
Last Updated: Dec 5, 2011

Practice Location

Address: 1009 S OAKWOOD AVE
City: Geneseo
State: Illinois
ZIP Code: 61254-1937
Phone: (309) 944-3784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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