Provider Demographics
NPI:1275188658
Name:HOLMAN, BRANDIE BOOK (PHARM D)
Entity type:Individual
Prefix:
First Name:BRANDIE
Middle Name:BOOK
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 W 74TH TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4422
Mailing Address - Country:US
Mailing Address - Phone:318-548-5042
Mailing Address - Fax:
Practice Address - Street 1:11010 W 74TH TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-4422
Practice Address - Country:US
Practice Address - Phone:913-268-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65183183500000X
KS1-120001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist