Individual
RICHARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1450 E GENEVA ST, DELAVAN, WI 53115-2025
(262) 728-0062
(262) 728-0055
Mailing address
1450 E GENEVA ST, DELAVAN, WI 53115-2025
(262) 728-0062
(262) 728-0055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12227-40
WI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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