Provider Demographics
NPI:1851781629
Name:HALL, PRESTON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:
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 1:1805 EMS RD E
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-2040
Mailing Address - Country:US
Mailing Address - Phone:817-575-7745
Mailing Address - Fax:
Practice Address - Street 1:1805 EMS RD E
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-2040
Practice Address - Country:US
Practice Address - Phone:817-575-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46396183500000X
NV21574183500000X
VT133.0133164183500000X
TX49148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist