Organization
HOLT PHARMACY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAYSON B BULMAHN RPH (MANAGING MEMBER)
(716) 471-8067
Entity
Organization
Contact information
Practice address
2018 CEDAR ST STE A, HOLT, MI 48842-1400
(517) 694-9707
(517) 694-9713
Mailing address
2018 CEDAR ST STE A, HOLT, MI 48842-1400
(517) 694-9707
(517) 694-9713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2363062
NCPDP
—
05
—
2363062
—
MI
Enumeration date
07/30/2006
Last updated
03/07/2023
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