Individual
GARY ALLEN HOLST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
11131 W 79TH ST, LENEXA, KS 66214-1482
(913) 234-4664
(913) 234-4661
Mailing address
11131 W 79TH ST, LENEXA, KS 66214-1482
(913) 234-4664
(913) 234-4661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10795
KS
183500000X
Pharmacist
Primary
41592
MO
1835G0303X
Geriatric Pharmacist
10795
KS
1835G0303X
Geriatric Pharmacist
41592
MO
1835N1003X
Nutrition Support Pharmacist
10795
KS
1835N1003X
Nutrition Support Pharmacist
41592
MO
1835P1200X
Pharmacotherapy Pharmacist
10795
KS
1835P1200X
Pharmacotherapy Pharmacist
41592
MO
Other
Enumeration date
05/07/2007
Last updated
09/11/2025
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