Organization Name: | HALL FAMILY PHARMACY INC |
NPI Number: | 1053735217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP MICHAEL HALL (OWNER / PHARMACIST) |
Mailing Address: | 433 W Central Ave Jamestown |
State: | TN US |
Postal Code: | 385563004 |
Phone Number: | 9318799997 |
Fax Number: | 9318799995 |
NPI Enumeration Date: | 02/08/2014 |
NPI Last Update Date: | 05/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 00005328 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |