Individual
MRS. KIMBERLY BRYANT-HOLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
640 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 659-3740
(731) 659-3741
Mailing address
3395 OLD JACKSON RD, SOMERVILLE, TN 38068-5829
(901) 465-7902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10469
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4437794
PHARMACY NUMBER
TN
Enumeration date
05/02/2006
Last updated
07/08/2007
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