Provider Demographics
NPI:1508258724
Name:HALL, VALERIE (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-4836
Mailing Address - Country:US
Mailing Address - Phone:440-244-0593
Mailing Address - Fax:440-244-0597
Practice Address - Street 1:2730 BROADWAY
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-4836
Practice Address - Country:US
Practice Address - Phone:440-244-0593
Practice Address - Fax:440-244-0597
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03230667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist