Organization
HALLS DRUG CENTER INC
Active
Other names
South Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HALL RPH (OWNER)
(360) 736-5000
Entity
Organization
Contact information
Practice address
417 S TOWER AVE, SUITE 2, CENTRALIA, WA 98531-3917
(360) 736-5000
(360) 736-9433
Mailing address
1205 CENTRALIA AVE, CENTRALIA, WA 98531-3705
(360) 736-5000
(360) 736-9433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60650596
WA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106360
PK
—
05
—
6109706
—
WA
Enumeration date
08/04/2006
Last updated
07/18/2016
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