Provider Demographics
NPI:1750785382
Name:HOLCOMB, EMILY B (PHARMD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:B
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 AUTUMN RIVER RUN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4356
Mailing Address - Country:US
Mailing Address - Phone:541-521-8868
Mailing Address - Fax:
Practice Address - Street 1:200 LAKESIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2321
Practice Address - Country:US
Practice Address - Phone:215-947-7797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013649183500000X
WAPH60411166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist