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NPI Code Detail

MEDICARE: MRS. CHRISTINE LEE-HALL PHARMD

MEDICARE: MRS. CHRISTINE LEE-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
1183500000XPharmacist337906-1701UT

General Provider Information

NPI Number : 1215927025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE LEE-HALL PHARMD
Provider Business Mailing Address
First Line : 1970 E 7800 S
Second Line :
City : SOUTH WEBER
State : UT
Zip : 84405-9233
Country : US
Telephone Number : 801-476-8614
Fax Number :
Provider Business Practice Location Address
First Line : 1525 W 2100 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84119-1401
Country : US
Telephone Number : 801-213-9150
Fax Number : 801-213-9160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 07/08/2007

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