Organization
HALLS DRUG CENTER INC.
Active
Other names
South Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN LLOYD HALL PHARMACIST RPH (PRES CEO)
(360) 736-3301
Entity
Organization
Contact information
Practice address
417 S TOWER AVE, CENTRALIA, WA 98531
(360) 736-4433
(360) 736-8709
Mailing address
417 S TOWER AVE, CENTRALIA, WA 98531
(360) 736-4433
(360) 736-8709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
CF00003081
WA
3336C0003X
Community/Retail Pharmacy
CF00058999
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4918174
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
6003941
—
WA
05
—
6031025
—
WA
Enumeration date
08/10/2006
Last updated
07/11/2008
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