Individual
MRS. SUSAN K HOLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
60A NESBIT DR, BONNE TERRE, MO 63628-1368
(573) 358-3301
Mailing address
610 HARVEY CT, FARMINGTON, MO 63640-2101
(573) 756-4239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040715
MO
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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