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Mr. Jack L Holt, RPH
Pharmacist in Vancouver, Washington
NPI 1104168624

Jack L Holt is a Pharmacist based in Vancouver, WA. Jack L Holt practices in Vancouver, WA and has the professional credentials of RPH. The NPI Number for Jack L Holt is 1104168624 and holds a License No. RPH-0007279 (Washington).

The current practice location address for Jack L Holt is 916 W Evergreen Blvd, Vancouver, WA and can be reached out via phone at 360-213-2232 and via fax at 360-213-2238.

Location: 916 W Evergreen Blvd, Vancouver, WA, 98660-3035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104168624
Provider Name
Jack L Holt
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
916 W Evergreen Blvd, Vancouver, WA, 98660-3035
Phone Number
360-213-2232
Fax Number
360-213-2238
Provider Enumeration Date
03/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RPH-0007279 01 OR PHARMACIST LICENSE
RPH-0007279-P 01 OR PHARMACIST PRECEPTOR LICENSE
institution
Provider Business Practice Location Address Details
Address
916 W Evergreen Blvd
City
Vancouver
State
Washington
Zip
98660-3035
Phone Number
360-213-2232
Fax Number
360-213-2238
person
Provider Business Mailing Address Details
Address
916 W Evergreen Blvd
City
Vancouver
State
Washington
Zip
98660-3035
Phone Number
360-213-2232
Fax Number
360-213-2238
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH-0007279 (Oregon)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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