Individual
DENISE HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 SULPHUR SPRING RD, BALLWIN, MO 63021-7497
(636) 230-7367
Mailing address
2800 WINTER WAY, EUREKA, MO 63025-3575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043606
MO
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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