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NPI Code Detail

MEDICARE: MS. KRISTEN HOLBY RPH, PHARMD

MEDICARE: MS. KRISTEN HOLBY RPH, PHARMD
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
1183500000XPharmacist052692NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1052692OTHERNYNY STATE LICENSE NUMBER

General Provider Information

NPI Number : 1265664841
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTEN HOLBY RPH, PHARMD
Provider Business Mailing Address
First Line : 3526 FRANCIS LEWIS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1954
Country : US
Telephone Number : 718-353-1571
Fax Number : 718-353-3172
Provider Business Practice Location Address
First Line : 3526 FRANCIS LEWIS BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11358-1954
Country : US
Telephone Number : 718-353-1571
Fax Number : 718-353-3172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2009
Last Update Date : 08/17/2009

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