Individual
MRS. MATTIE J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
7968 ESSEN PARK, BATON ROUGE, LA 70809-7439
(225) 761-6700
Mailing address
58360 ISLAND DRIVE, PLAQUEMINE, LA 70765
(225) 761-6700
(225) 761-6760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13107
LA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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