Provider Demographics
NPI:1528353414
Name:HOLYK, JENNIFER TERESA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:TERESA
Last Name:HOLYK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13250 NORTHWEST FWY
Mailing Address - Street 2:T0858
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6003
Mailing Address - Country:US
Mailing Address - Phone:713-343-2258
Mailing Address - Fax:713-343-2258
Practice Address - Street 1:13250 NORTHWEST FWY
Practice Address - Street 2:T0858
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6003
Practice Address - Country:US
Practice Address - Phone:713-343-2258
Practice Address - Fax:713-343-2258
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX43557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist