Provider Demographics
NPI:1285119677
Name:HALL, NED JAMES (RPH)
Entity type:Individual
Prefix:MR
First Name:NED
Middle Name:JAMES
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 1:911 DELTA AVE
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MI
Mailing Address - Zip Code:49837-1648
Mailing Address - Country:US
Mailing Address - Phone:906-428-1000
Mailing Address - Fax:906-428-6060
Practice Address - Street 1:911 DELTA AVE
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MI
Practice Address - Zip Code:49837-1648
Practice Address - Country:US
Practice Address - Phone:906-428-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist