Provider Demographics
NPI:1346216231
Name:HOLMES, WINONA FLEMING (RPH, CGP)
Entity Type:Individual
Prefix:MS
First Name:WINONA
Middle Name:FLEMING
Last Name:HOLMES
Suffix:
Gender:F
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 OAKLAND CHASE PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5736
Mailing Address - Country:US
Mailing Address - Phone:804-314-1707
Mailing Address - Fax:804-652-0063
Practice Address - Street 1:1504 OAKLAND CHASE PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-5736
Practice Address - Country:US
Practice Address - Phone:804-314-1707
Practice Address - Fax:804-652-0063
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist