Individual
ROSS MICHAEL HOLST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 NORTHSTAR CT, TONGANOXIE, KS 66086-8933
(913) 369-2100
(913) 369-2101
Mailing address
PO BOX 580, TONGANOXIE, KS 66086-0580
(913) 369-2100
(913) 369-2101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14487
KS
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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