Individual
SHAWN HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7835 150TH ST W, APPLE VALLEY, MN 55124-7181
(952) 431-9703
Mailing address
8999 HORIZON DR, SHAKOPEE, MN 55379-8500
(952) 239-9400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116703
MN
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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