Individual
DR. JENNELLE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
4151 45TH ST S, FARGO, ND 58104-4312
(701) 282-8075
(701) 282-8594
Mailing address
4151 45TH ST S, FARGO, ND 58104-4312
(701) 282-8075
(701) 282-8594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5879
ND
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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