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General NPI Number Information
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NPI Number | 1205929429
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Entity Type | Organization
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Legal Business Name | HALLS DRUG CENTER INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 505 S TOWER AVE STE 2B
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City | CENTRALIA
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State | WA
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Zip | 98531-3919
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Country | US
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Telephone | 360-736-5000
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Fax | 360-736-6934
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Provider Business Mailing Address
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Address Line | 1205 CENTRALIA AVE
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City | CENTRALIA
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State | WA
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Zip | 98531-3705
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Country | US
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Telephone | 360-736-3301
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Fax | 360-736-6934
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Authorized Official
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Title or Position | OWNER
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Name | WARREN HALL
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Credential |
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Telephone | 360-736-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | CF60099201
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License Number State | WA
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