Individual
KATHERINE HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6730 N HUALAPAI WAY, LAS VEGAS, NV 89149-1358
(702) 670-4960
Mailing address
4747 S CHUGWATER WAY, BOISE, ID 83716-7161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20073
NV
183500000X
Pharmacist
Primary
P7837
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20073
NEVADA BOARD OF PHARMACY
NV
01
—
P7837
IDAHO BOARD OF PHARMACY
ID
Enumeration date
08/03/2017
Last updated
04/01/2020
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