Provider Demographics
NPI:1295861680
Name:HOLUBEC, CAROLYN FOLWELL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:FOLWELL
Last Name:HOLUBEC
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 FM 112
Mailing Address - Street 2:
Mailing Address - City:THRALL
Mailing Address - State:TX
Mailing Address - Zip Code:76578-8741
Mailing Address - Country:US
Mailing Address - Phone:512-898-5112
Mailing Address - Fax:
Practice Address - Street 1:511 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-3646
Practice Address - Country:US
Practice Address - Phone:512-352-5233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33713183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist