Individual
DAVID HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1900 E RICHARDS ST, DOUGLAS, WY 82633-3029
(307) 358-1706
Mailing address
720 GRANT ST APT B, DOUGLAS, WY 82633-2777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17547
NE
183500000X
Pharmacist
Primary
4394
WY
183500000X
Pharmacist
N4704
WY
Other
Enumeration date
05/31/2022
Last updated
07/14/2022
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