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NPI Code Detail

MEDICARE: DR. MELISSA ANN HALL PHARMD, RPH

MEDICARE: DR. MELISSA ANN HALL PHARMD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21136NC

General Provider Information

NPI Number : 1558679647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA ANN HALL PHARMD, RPH
Provider Business Mailing Address
First Line : 5311 N ROXBORO RD
Second Line :
City : DURHAM
State : NC
Zip : 27712-2227
Country : US
Telephone Number : 919-471-4409
Fax Number : 919-620-9639
Provider Business Practice Location Address
First Line : 5311 N ROXBORO RD
Second Line :
City : DURHAM
State : NC
Zip : 27712-2227
Country : US
Telephone Number : 919-471-4409
Fax Number : 919-620-9639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2010
Last Update Date : 09/22/2010

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