Individual
DR. MICHAEL FOSTER HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1940 TURNER RD SE, SALEM, OR 97302-2003
(503) 391-0586
(503) 391-0753
Mailing address
1940 TURNER RD SE, SALEM, OR 97302-2003
(503) 391-0586
(503) 391-0753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00052736
WA
183500000X
Pharmacist
Primary
RPH-0010471
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH 00052736
WASHINGTON STATE BOARD OF PHARMACY
WA
01
—
RPH-0010471
OREGON BOARD OF PHARMACY
OR
Enumeration date
07/16/2014
Last updated
07/16/2014
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