Individual
DAVID JOHN HOLMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2635 RICE ST, ROSEVILLE, MN 55113-3717
(651) 483-3976
Mailing address
2635 RICE ST, ROSEVILLE, MN 55113-3717
(651) 483-3976
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119198
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245246883
PHARMACY
MN
Enumeration date
11/08/2011
Last updated
11/08/2011
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