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Kody Hall

NPI 1396340972 · on the registry since 2020 · sole proprietor

Practice

Address
7428 Eastport Pkwy Ste 101
La Vista, NE 68128
Phone
(402) 991-7283
Fax
(402) 991-7281
Organisation at this address
Your Hometown Pharmacy Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska