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Individual

ROBERT WILLIAM HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
58 DOVE CREEK CIR, N LITTLE ROCK, AR 72116-6402
(501) 258-4412
Mailing address
58 DOVE CREEK CIR, N LITTLE ROCK, AR 72116-6402
(501) 258-4412

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
AR08480
AR
1835G0303X
Geriatric Pharmacist
Primary
AR08480
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AR08480
ARKANSAS STATE BOARD OF PHARMACY
AR
Enumeration date
04/27/2021
Last updated
04/27/2021
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