Healthcare Provider Details

I. General information

NPI: 1699291526
Provider Name (Legal Business Name): SARAH ANN HALL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 08/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 HAZEL ST
ARCADIA LA
71001-4113
US

IV. Provider business mailing address

156 IRA WYATT RD
CHATHAM LA
71226-9007
US

V. Phone/Fax

Practice location:
  • Phone: 318-263-3948
  • Fax:
Mailing address:
  • Phone: 318-259-5889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.021674
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: