Individual
GRANT OLIVER HOLDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
2044 N HIGH ST, DENVER, CO 80205-5556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0020884
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295371136
—
CO
Enumeration date
11/26/2019
Last updated
02/16/2023
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