Individual
EDWARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14111 N PRASADA GATEWAY AVE, SURPRISE, AZ 85388-2201
(623) 282-3215
(623) 282-3209
Mailing address
14111 N PRASADA GATEWAY AVE, SURPRISE, AZ 85388-2201
(623) 282-3215
(623) 282-3209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11154
AZ
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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