Provider Demographics
NPI:1275530867
Name:HOLOWKA, JAMIE LYNNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:LYNNE
Last Name:HOLOWKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 INWOOD RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4838
Mailing Address - Country:US
Mailing Address - Phone:724-612-4997
Mailing Address - Fax:412-453-4569
Practice Address - Street 1:1500 7TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4164
Practice Address - Country:US
Practice Address - Phone:724-891-0600
Practice Address - Fax:724-891-8233
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP-042798-L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP042798LOtherSTATE LICENSE NUMBER