Provider Demographics
NPI:1285418962
Name:HOLBROOK, ALICIA FRANKLIN (RPH)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:FRANKLIN
Last Name:HOLBROOK
Suffix:
Gender:F
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:PO BOX 6439
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35161-6439
Mailing Address - Country:US
Mailing Address - Phone:256-362-1120
Mailing Address - Fax:256-761-1377
Practice Address - Street 1:320 BATTLE ST W
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2431
Practice Address - Country:US
Practice Address - Phone:256-362-1120
Practice Address - Fax:256-761-1377
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist