Provider Demographics
NPI:1487417283
Name:HALL, JASON DANIEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:DANIEL
Last Name:HALL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 KREIDLER AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4980
Mailing Address - Country:US
Mailing Address - Phone:724-998-7508
Mailing Address - Fax:877-563-1477
Practice Address - Street 1:976 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3708
Practice Address - Country:US
Practice Address - Phone:717-848-2312
Practice Address - Fax:877-563-1477
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4457281835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist