Provider Demographics
NPI:1013111442
Name:HOLDEN, ROBERT N (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:N
Last Name:HOLDEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 CARILLION PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8820
Mailing Address - Country:US
Mailing Address - Phone:334-270-1855
Mailing Address - Fax:
Practice Address - Street 1:8601 CARILLION PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8820
Practice Address - Country:US
Practice Address - Phone:334-270-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10093OtherPHARMACY LICENSE