Organization
KMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM HOLCOMB R.PH. (PHARMACIST)
(804) 226-9389
Entity
Organization
Contact information
Practice address
4715 NINE MILE RD, RICHMOND, VA 23223-4908
(804) 226-9388
Mailing address
4715 NINE MILE RD, RICHMOND, VA 23223-4908
(804) 226-9388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0202010258
VA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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