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Michael Robert Halle, PharmD

Pharmacist in Bangor, ME. Individual provider (NPI-1).

NPI number1790061802
StatusActive
Last updated in NPPESNov 2, 2011

Details

NPI
1790061802
Entity type
Individual (NPI-1)
Name
Mr. Michael Robert Halle
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2011
Last updated
Nov 2, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPR5814MEYes

Practice location

353 Main St
Bangor, ME 04401-6211

Phone 207-945-6550

Mailing address

64 Cook Rd
Carmel, ME 04419-3715

Phone 401-263-3942

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