Provider Demographics
NPI:1215245477
Name:HALL, DON BELOIS (RPH)
Entity type:Individual
Prefix:MR
First Name:DON
Middle Name:BELOIS
Last Name:HALL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5539 WHISPER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2555
Mailing Address - Country:US
Mailing Address - Phone:910-392-0798
Mailing Address - Fax:
Practice Address - Street 1:1929 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2354
Practice Address - Country:US
Practice Address - Phone:910-343-0618
Practice Address - Fax:910-772-9947
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC9685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1073616579OtherNPI
NC3432301OtherNABP
NC0655886Medicaid