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Individual

BRENTON C HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5151 MAPLE AVE, DALLAS, TX 75235-8136
(214) 590-7074
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
62892
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
62892
TX

Other

Enumeration date
07/16/2020
Last updated
02/20/2023
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