Individual
STACIE LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
711 GREEN RD, MADISON, IN 47250-2143
(812) 265-7460
(812) 265-7463
Mailing address
711 GREEN RD, MADISON, IN 47250-2143
(812) 265-7460
(812) 265-7463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019949A
IN
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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