Individual
DR. RILEY ORTIS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
159 BENT AVE, LAS ANIMAS, CO 81054-1131
(719) 456-1691
Mailing address
PO BOX 10, EADS, CO 81036-0010
(719) 438-5832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22947
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22947
PHARMACIST LICENSE
CO
Enumeration date
11/07/2019
Last updated
11/07/2019
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