Organization
HALLS DRUG CENTER INC
Active
Other names
HALLS MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HALL (OWNER)
(360) 736-3301
Entity
Organization
Contact information
Practice address
1805 COOKS HILL RD, CENTRALIA, WA 98531-9072
(360) 736-3301
(360) 736-3494
Mailing address
505 S TOWER AVE STE 2, CENTRALIA, WA 98531-3919
(360) 736-3301
(360) 736-3494
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00057531
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4916459
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6012504
—
WA
Enumeration date
10/02/2006
Last updated
12/18/2009
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