Individual
SAMANTHA JAYNE HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 W MAIN ST, VALLEY CITY, ND 58072-3319
(701) 845-1763
(701) 845-5171
Mailing address
956 6TH AVE NE, VALLEY CITY, ND 58072-2347
(701) 430-0180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5596
ND
Other
Enumeration date
09/17/2013
Last updated
07/23/2019
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