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Individual

SHANNON ELAINE HOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPS

Contact information

Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 390-7227
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 390-7227

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
003358
MO

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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