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General NPI Number Information
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NPI Number | 1407267255
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Entity Type | Individual
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Provider Name | PATRICK LEWIS HOLT PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 660 NORTH AVE
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City | MACON
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State | GA
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Zip | 31211-1494
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Country | US
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Telephone | 478-746-5842
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Fax | 478-746-2662
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Provider Business Mailing Address
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Address Line | 770 PINE ST STE 100
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City | MACON
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State | GA
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Zip | 31201-7565
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Country | US
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Telephone | 478-745-0476
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Fax | 478-745-9808
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 025518
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License Number State | GA
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