Individual
JACK BRIAN HALL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3360 FRONT ST, WINNSBORO, LA 71295-6487
(318) 435-9011
Mailing address
3360 FRONT ST, WINNSBORO, LA 71295-6487
(318) 435-9011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13626
LA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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