Ross Michael Holst

NPI #1023492444 in Tonganoxie, Kansas

Provider Information

NPI Number: 1023492444
Entity Type: Individual
Name: Ross Michael Holst
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 760 NORTHSTAR CT
City: Tonganoxie
State: Kansas
ZIP Code: 66086-8933
Phone: (913) 369-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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