Individual
JON J HOLMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HOSPITAL DRIVE, KETCHUM, ID 83340
(208) 727-8300
(208) 727-8304
Mailing address
PO BOX 2655, KETCHUM, ID 83340-2601
(208) 720-4352
(208) 727-8304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4861
ID
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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