Individual
MICHAEL HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
17600 N 79TH AVE APT 1407, GLENDALE, AZ 85308-8690
(206) 498-8918
Mailing address
17600 N 79TH AVE APT 1407, GLENDALE, AZ 85308-8690
(206) 498-8918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019483
AZ
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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