Individual
KEITH R HOLME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
323 JACKSON AVE NW, ELK RIVER, MN 55330-2523
(763) 441-1353
(763) 441-9004
Mailing address
323 JACKSON AVE NW, ELK RIVER, MN 55330-2523
(763) 441-1353
(763) 441-9004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110828
MN
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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