MEDICARE: MICHAEL HALL PHARMD

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
1	208U00000X	Clinical Pharmacology Physician	03226321	OH

General Provider Information

NPI Number	:	1134082084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HALL PHARMD

Provider Business Mailing Address
First Line	:	2600 SIXTH ST SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1702
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 SIXTH ST SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1702
Country	:	US
Telephone Number	:	330-363-9452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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