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

Mr. Jack L Holt, RPH

Individual provider Pharmacist · NPI 1104168624

Mr. Jack L Holt, RPH is a Pharmacist in Vancouver, Washington. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone: (360) 213-2232
Fax: (360) 213-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0007279 (OR)

Record details

NPI number1104168624
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 22, 2013
Last updated in NPPESApril 30, 2013
Mailing address916 W Evergreen Blvd, Vancouver, WA 98660-3035

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