NPI | 1508477332 |
---|---|
Doing Business As | WHITE HALL PHARMACY, LLC |
Entity Type | Organization |
Authorized Contact | TERRI W VILAIN Rph/Owner 130-429-0910 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0003X Pharmacy Community/Retail Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-08-17 |