Individual
IAN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
711 MARTIN LUTHER KING JR BLVD, ASHLAND, KY 41101-2668
(606) 324-7119
Mailing address
14120 GRANT ST APT 16-302, THORNTON, CO 80023-6488
(304) 575-1662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019490
KY
183500000X
Pharmacist
Primary
PHA.0023147
CO
183500000X
Pharmacist
RP0010262
WV
Other
Enumeration date
08/21/2017
Last updated
09/29/2020
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