Individual
KODY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7428 EASTPORT PKWY STE 101, LA VISTA, NE 68128-2348
(402) 991-7283
(402) 991-7281
Mailing address
7428 EASTPORT PKWY STE 101, LA VISTA, NE 68128-2348
(402) 991-7283
(402) 991-7281
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13485
NE
Other
Enumeration date
12/02/2020
Last updated
07/20/2022
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