Individual
JOHN THOMAS HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-5391
Mailing address
PO BOX 4329, POCATELLO, ID 83205-4329
(208) 282-5391
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P6075
ID
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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