Holly S Divine is a Pharmacist in Versailles, Kentucky. Holly S Divine practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Holly S Divine is 1689670275. The last update date is 2007-07-08.
Holly S Divine's current location address is 627 Regent Rd, Versailles, Kentucky. You can contact this provider via phone number 8598734021. The mailing address for Holly S Divine is 627 Regent Rd, Versailles, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly S Divine |
|---|---|
| Address | 627 Regent Rd, Versailles, Kentucky |
| Phone Number | 8598734021 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHARM.D |
NPI Number Detail
| NPI Number | 1689670275 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 627 Regent Rd |
|---|---|
| City | Versailles |
| State | Kentucky (KY) |
| Post Code | 403831637 |
| Phone Number | 8598734021 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11548 |
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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 m |
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What is the Holly S Divine's unique identification number?
The Holly S Divine has been assigned the NPI (National Provider Identifier) Number 1689670275 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Holly S Divine located?
The Holly S Divine is located at 627 Regent Rd, Versailles, KY 403831637.
What is Holly S Divine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Holly S Divine is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date did the Holly S Divine receive its 1689670275 assignment from the Centers for Medicare & Medicaid Services?
The Holly S Divine was assigned its 1689670275 by the Centers for Medicare & Medicaid Services on 2005-06-28.
When was the Holly S Divine's information last updated?
The Holly S Divine's information was last updated on 2007-07-08.