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DR. BROOKE HALLY PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1760866032

Individual Registrant:
DR. BROOKE  HALLY PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1118 NW 16TH ST # 150B  FRUITLAND, ID 83619-2271 US
Tel: 208-452-7075  Fax: 208-452-7446

Contact information for business:
1118 NW 16TH ST # 150B  FRUITLAND, ID 83619-2271 US
Tel: 208-452-7075  Fax: 208-452-7446

Registration Information:
NPI: 1760866032
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
IDP7274

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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