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1104168624
JACK L HOLT
VANCOUVER, WA
NPI
1104168624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0007279)
Enumeration Date
2013-03-22
Last Update Date
2013-04-30
Business Address
Mr. JACK L HOLT RPh
916 W EVERGREEN BLVD
VANCOUVER, WA 98660-3035
Phone number: 360-213-2232
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Mailing Address
Mr. JACK L HOLT RPh
916 W EVERGREEN BLVD
VANCOUVER, WA 98660-3035
Phone number: 360-213-2232
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