Individual
ELIZABETH HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 US-90, WAVELAND, MS 39576
(228) 467-4717
Mailing address
5145 PINE AVE, PEARLINGTON, MS 39572-7723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-101327
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
E-101327
MS
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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