Individual
MICHELLE HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W MAIN ST, SOLON, IA 52333-9500
(319) 621-0252
Mailing address
121 W MAIN ST, SOLON, IA 52333-9500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19192
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19192
PHARMACY LICENSE NUMBER
IA
Enumeration date
12/28/2013
Last updated
12/28/2013
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