Individual
ALYSSA VICTORIA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E47445
ID
183500000X
Pharmacist
Primary
P9547
ID
Other
Enumeration date
07/01/2021
Last updated
08/11/2021
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