Individual
JEFFREY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
265 S EAGLE RD, EAGLE, ID 83616-5907
(208) 319-0543
(208) 319-0549
Mailing address
265 S EAGLE RD, EAGLE, ID 83616-5907
(208) 319-0543
(208) 319-0549
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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