Healthcare Provider Details

I. General information

NPI: 1205762317
Provider Name (Legal Business Name): DOLF ALAN HALL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 ACADEMY PARK LOOP
COLORADO SPRINGS CO
80910-3708
US

IV. Provider business mailing address

4623 BRYLIE WAY
COLORADO SPRINGS CO
80911-4009
US

V. Phone/Fax

Practice location:
  • Phone: 719-579-9580
  • Fax:
Mailing address:
  • Phone: 719-226-4021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number13529
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: