Individual
NYASHA MACK HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7031 WASHINGTON AVE, LANTANA, FL 33462-5201
(561) 585-6911
(561) 585-2610
Mailing address
151 LAKE MONTEREY CIR, BOYNTON BEACH, FL 33426-8436
(305) 484-6103
(561) 585-2610
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PS33824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS33824
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
08/29/2020
Last updated
08/29/2020
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