Provider Demographics
NPI:1164642443
Name:HALL, CHARLES W (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:W
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 1:1203 BROWNING AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2118
Mailing Address - Country:US
Mailing Address - Phone:205-591-4720
Mailing Address - Fax:
Practice Address - Street 1:COOPER GREEN MERCY HOSPITAL PHARMACY
Practice Address - Street 2:1515 6TH AVE SO
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1687
Practice Address - Country:US
Practice Address - Phone:205-930-3243
Practice Address - Fax:205-930-3648
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist