Individual
MR. MICHAEL ROBERT HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
353 MAIN ST, BANGOR, ME 04401-6211
(207) 945-6550
Mailing address
64 COOK RD, CARMEL, ME 04419-3715
(401) 263-3942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5814
ME
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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