Individual
DR. JACOB W HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3040 DOLPHIN DR, ELIZABETHTOWN, KY 42701-7135
(270) 737-4578
Mailing address
416 S 6TH ST, BARDSTOWN, KY 40004-1132
(502) 827-9994
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
019523
KY
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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