NPI 1023137254

George H Holoubek, RPH

Practitioner Pharmacist Davenport, IA

Practice location

Address: 4064 E 53rd St, Davenport, IA 52807-3033
Phone: (563) 359-3120
Fax: (563) 359-1137
Mailing address: 3319 Lorton Ave, Davenport, IA 52807-2318

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17112 (IA)

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Registry record

NPI: 1023137254
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.