MEDICARE: HALL'S PHARMACY

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	333600000X	Pharmacy	10169	TX

General Provider Information

NPI Number	:	1710158589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALL'S PHARMACY

Provider Business Mailing Address
First Line	:	708 PENNSYLVANIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2221
Country	:	US
Telephone Number	:	817-877-3677
Fax Number	:	817-877-9981

Provider Business Practice Location Address
First Line	:	708 PENNSYLVANIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2221
Country	:	US
Telephone Number	:	817-877-3677
Fax Number	:	817-877-9981

Authorized Official
Title or Position	:	OFFICE-MGR
Name	:	MRS. FRANCES O GARCIA
Credential	:
Telephone Number	:	817-877-3677

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	03/19/2008

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Directions to “HALL'S PHARMACY ” Practice Location

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