Individual
CHAD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1089 N WISNER ST, JACKSON, MI 49202-3143
(517) 205-8311
Mailing address
1478 BROOKFIELD DR, ANN ARBOR, MI 48103-6084
(419) 389-3444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302045981
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302045981
PHARMACY LICENSE
MI
Enumeration date
12/15/2017
Last updated
12/15/2017
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