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NPI Code Detail

MEDICARE: MRS. JANET HOLTMAN

MEDICARE: MRS. JANET HOLTMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist041736MO

General Provider Information

NPI Number : 1396104824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET HOLTMAN
Provider Business Mailing Address
First Line : 806 N STURGEON ST
Second Line :
City : MONTGOMERY CITY
State : MO
Zip : 63361-1426
Country : US
Telephone Number : 573-564-2273
Fax Number : 573-564-5249
Provider Business Practice Location Address
First Line : 806 N STURGEON ST
Second Line :
City : MONTGOMERY CITY
State : MO
Zip : 63361-1426
Country : US
Telephone Number : 573-564-2273
Fax Number : 573-564-5249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2016
Last Update Date : 02/11/2016

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Directions to “ MRS. JANET HOLTMAN ” Practice Location

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