Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Van Holt

Individual provider Pharmacist · NPI 1609429034

Mark Van Holt is a Pharmacist in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
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Practice location Address checks out

10109 E 79th St
Tulsa, OK 74133-4564
Phone: (918) 286-5370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12225 (OK)

Record details

NPI number1609429034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2019
Last updated in NPPESJuly 24, 2019
Mailing address7019 S Dogwood Pl, Broken Arrow, OK 74011-2071

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