Individual
PAUL CHARLES HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3140 SE 14TH ST, DES MOINES, IA 50320-1328
(515) 282-5295
(515) 282-7057
Mailing address
2123 34TH ST, DES MOINES, IA 50310-5243
(515) 279-5001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18530
IA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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