Organization
HOLT PHARMACY LLC
Active
Other names
HOLT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMNA KHAN RPH (OWNER, PIC)
(517) 699-1544
Entity
Organization
Contact information
Practice address
2291 CEDAR ST, HOLT, MI 48842-1202
(517) 699-1544
(517) 699-1588
Mailing address
2291 CEDAR ST, HOLT, MI 48842-1202
(517) 699-1544
(517) 699-1588
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146500
PK
—
Enumeration date
06/21/2014
Last updated
07/21/2014
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