Healthcare Provider Details

I. General information

NPI: 1275530867
Provider Name (Legal Business Name): JAMIE LYNNE HOLOWKA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 7TH AVE
BEAVER FALLS PA
15010-4164
US

IV. Provider business mailing address

300 INWOOD RD
PITTSBURGH PA
15237-4838
US

V. Phone/Fax

Practice location:
  • Phone: 724-891-0600
  • Fax: 724-891-8233
Mailing address:
  • Phone: 724-612-4997
  • Fax: 412-453-4569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP-042798-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: