Individual
REBECCA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
4699 STERLING LN, KINGSPORT, TN 37664-4925
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11616
TN
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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