NPI 1053702530

Khiana Holmes

Practitioner Pharmacy Technician Bay Shore, NY

Practice location

Address: 838 Sunrise Hwy, Bay Shore, NY 11706
Phone: (631) 969-8970
Fax: (631) 954-3111

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1053702530
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2015
Record last updated: 5 Feb 2015

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.