Healthcare Provider Details

I. General information

NPI: 1922165968
Provider Name (Legal Business Name): BEVERLY JEAN HOLCOMBE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR UNC HEALTH CARE DEPT OF PHARMACY
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

1208 VICKERS AVE
DURHAM NC
27707-1360
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5991
  • Fax: 919-966-8480
Mailing address:
  • Phone: 919-966-5991
  • Fax: 919-966-8480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number008652
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: