Healthcare Provider Details

I. General information

NPI: 1346436060
Provider Name (Legal Business Name): BRIANNE D HOLCOMBE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2007
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL RMC PHARMACY DEPT CMR 402
APO AE
09180
US

IV. Provider business mailing address

3601 S 6TH AVE
TUCSON AZ
85623
US

V. Phone/Fax

Practice location:
  • Phone: 496371867570
  • Fax: 496371867570
Mailing address:
  • Phone: 520-742-1450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13855
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: