Individual
JEREMIAH HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 N SANTA FE AVE, EDMOND, OK 73003-3603
(405) 340-0522
Mailing address
1800 FAWN VALLEY LN, EDMOND, OK 73003-2417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19085
OK
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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