Organization
HALLS PHARMACY INC
Active
Other names
HALLS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA HALL PHARMD (PRESIDENT)
(636) 390-2828
Entity
Organization
Contact information
Practice address
3021 HIGHWAY A, STE 203, WASHINGTON, MO 63090-5498
(636) 390-2828
(636) 390-2598
Mailing address
3021 HIGHWAY A, STE 203, WASHINGTON, MO 63090-5498
(636) 390-2828
(636) 390-2598
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2006022696
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2637037
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
606261303
—
MO
Enumeration date
08/20/2006
Last updated
03/09/2012
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