Healthcare Provider Details

I. General information

NPI: 1013200989
Provider Name (Legal Business Name): MARGARITA M HALL PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 02/08/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JESUS FRAGOSO 65TH INFANTRY
CAROLINA PR
00983
US

IV. Provider business mailing address

65TH INFANTRY JESUS FRAGROSO
CAROLINA PR
00983
US

V. Phone/Fax

Practice location:
  • Phone: 787-769-4122
  • Fax:
Mailing address:
  • Phone: 787-769-4122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number4000
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: