Individual
DANIEL HOLTKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 RIDGE POINT DR, HIGH RIDGE, MO 63049-2201
(636) 375-3130
Mailing address
2700 RIDGE POINT DR, HIGH RIDGE, MO 63049-2201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013026684
MO
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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