MEDICARE: HOLMAN PHARMACY

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	17606	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2095888	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477554210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLMAN PHARMACY

Provider Business Mailing Address
First Line	:	10000 HARWIN DR STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1671
Country	:	US
Telephone Number	:	713-776-3500
Fax Number	:	713-776-3503

Provider Business Practice Location Address
First Line	:	10000 HARWIN DR STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1671
Country	:	US
Telephone Number	:	713-776-3500
Fax Number	:	713-776-3503

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE/OWNER
Name	:	MRS. VUI THI NGUYEN
Credential	:	PHARMACIST
Telephone Number	:	713-776-3500

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/22/2020

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Directions to “HOLMAN PHARMACY ” Practice Location

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