# GRANT OLIVER HOLDREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295371136
- **Gender:** Man
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHA.0020884 | CO | Yes |

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 02/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1295371136 | — | CO |