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1205449154
GLENN WALLACE HALL
SANTA ROSA, CA
NPI
1205449154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA RPH60664)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
Dr. GLENN WALLACE HALL RPh
915 VILLAGE CT
SANTA ROSA, CA 95405-6759
Phone number: 707-542-1879
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Mailing Address
Dr. GLENN WALLACE HALL RPh
915 VILLAGE CT
SANTA ROSA, CA 95405-6759
Phone number: 707-542-1879
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