Individual
CHARLES HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2155 IRON POINT RD, FOLSOM, CA 95630-8707
(916) 817-5461
Mailing address
2155 IRON POINT RD, FOLSOM, CA 95630-8707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30666
CA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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