Individual
MRS. HALEY SUZANNE HOLTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
701 PARK AVENUE, RL, MINNEAPOLIS, MN 55415
(612) 873-7462
(612) 904-4260
Mailing address
701 PARK AVENUE, RL, MINNEAPOLIS, MN 55415
(612) 873-7462
(612) 904-4260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118554
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313973000
—
MN
Enumeration date
01/02/2007
Last updated
05/21/2008
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