Provider Demographics
NPI:1508936105
Name:HOLDENER, KIMBERLY ERICKSON
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ERICKSON
Last Name:HOLDENER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5240 SNAPDRAGON TRL
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-7642
Mailing Address - Country:US
Mailing Address - Phone:608-263-1290
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:PHARMACY DEPT. MAILCODE 1530
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-1290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14008-040183500000X
MN117641-2183500000X
IN26020453A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN117641-2OtherPHARMACIST
WI14008-040OtherPHARMACIST
IN26020453AOtherPHARMACIST