JACK L HOLT

VANCOUVER, WA
NPI1104168624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0007279)
Enumeration Date2013-03-22
Last Update Date2013-04-30
Business Address
Mr. JACK L HOLT RPh
916 W EVERGREEN BLVD
VANCOUVER, WA 98660-3035
Phone number: 360-213-2232
Mailing Address
Mr. JACK L HOLT RPh
916 W EVERGREEN BLVD
VANCOUVER, WA 98660-3035
Phone number: 360-213-2232
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