Organization
HALLS DRUG CENTER INC
Active
Parent organization
HALLS DRUG CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HALLS DRUG CENTER INC
Authorized official
MR. WARREN A HALL RPH (OWNER/PRESIDENT)
(360) 607-8757
Entity
Organization
Contact information
Practice address
505 S TOWER AVE, SUITE 2, CENTRALIA, WA 98531-3919
(360) 736-0703
(360) 736-8489
Mailing address
505 S TOWER AVE, SUITE 2, CENTRALIA, WA 98531-3919
(360) 736-0703
(360) 736-8489
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
211003611
WA
333600000X
Pharmacy
211003611
WA
335E00000X
Prosthetic/Orthotic Supplier
211003611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018653
—
WA
05
—
6012504
—
WA
05
—
9034851
—
WA
05
—
9049669
—
WA
Enumeration date
12/13/2006
Last updated
06/23/2011
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