Individual
MR. JOHN T HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
174A YOUNG AVE, NETTLETON, MS 38858
(662) 963-2367
(662) 963-2392
Mailing address
PO BOX 389, 174A YOUNG AVE, NETTLETON, MS 38858
(662) 963-2367
(662) 963-2392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00489 011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035556
—
MS
Enumeration date
03/28/2007
Last updated
07/08/2007
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