Most Relevant Information
Provider Data
| NPI Number: | 1003181199 |
| Provider Name: | KEVIN B. HOLMAN R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH-0010216 |
Most Important Dates
| Enumeration Date: | 03/21/2012 |
| Last Updated: | 03/21/2012 |
Provider Practice Location
3300 W 6TH ST
THE DALLES
OR
970584144
Practice Location Phone/Fax
| Phone: | 5412982055 |
| Fax: | 5412982060 |
Provider Mailing Location
3300 W 6TH ST
THE DALLES
OR
970584144
Provider Mailing Phone/Fax
| Phone: | 5412982055 |
| Fax: | 5412982060 |