Organization
HALL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HALL RPH (OWNER)
(859) 236-1442
Entity
Organization
Contact information
Practice address
131 S 2ND ST, DANVILLE, KY 40422-1801
(859) 236-1442
Mailing address
131 S 2ND ST, DANVILLE, KY 40422-1801
(859) 236-1442
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277155
DME
KY
05
—
90000191
—
KY
Enumeration date
07/11/2005
Last updated
08/22/2020
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