MEDICARE: DR. DEANNE LYNN HALL PHARM. D.

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	1835P1200X	Pharmacotherapy Pharmacist	RP042556L	PA

General Provider Information

NPI Number	:	1649254103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANNE LYNN HALL PHARM. D.

Provider Business Mailing Address
First Line	:	200 LOTHROP ST
Second Line	:	164 LOTHROP HALL
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2546
Country	:	US
Telephone Number	:	412-383-7282
Fax Number	:	412-648-3098

Provider Business Practice Location Address
First Line	:	3459 5TH AVE
Second Line	:	9 WEST MONTIFIORE HOSPITAL
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3236
Country	:	US
Telephone Number	:	412-648-6017
Fax Number	:

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	07/08/2007

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