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Individual

DR. BENJAMIN HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
12332 MANCHESTER RD, DES PERES, MO 63131-4315
(314) 965-0062
Mailing address
12332 MANCHESTER RD, DES PERES, MO 63131-4315

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.292942
IL
183500000X
Pharmacist
Primary
2009011786
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
601580731
MO
Enumeration date
10/23/2010
Last updated
10/23/2010
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