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Organization
HOLT'S PHARMACY
Active
Organization
HOLT'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CHRISTINE HOLT (PRESIDENT/PHARMACIST)
(435) 249-0767
Entity
Organization
Contact information
Practice address
134 W 1180 N STE 12, TOOELE, UT 84074-1483
(435) 249-0767
(435) 249-0754
Mailing address
134 W 1180 NORTH STE 12, TOOELE, UT 84074
(435) 249-0767
(435) 249-0754
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063853547
—
UT
Enumeration date
07/11/2013
Last updated
03/17/2022
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