Individual
VICTORIA L HOLST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11131 W 79TH ST, LENEXA, KS 66214-1482
(913) 234-4664
(913) 234-4665
Mailing address
11131 W 79TH ST, LENEXA, KS 66214-1482
(913) 234-4664
(913) 234-4665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10560
KS
183500000X
Pharmacist
41049
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10560
PHARMACIST LICENSE
KS
01
—
41049
PHARMACIST LICENSE
MO
Enumeration date
06/20/2007
Last updated
07/08/2007
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