Most Relevant Information
Provider Data
| NPI Number: | 1003183203 |
| Provider Name: | NATHAN A HOLMQUIST PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 119346 |
Most Important Dates
| Enumeration Date: | 11/17/2011 |
| Last Updated: | 11/17/2011 |
Provider Practice Location
6025 SHENANDOAH LN N
PLYMOUTH
MN
554464557
Practice Location Phone/Fax
| Phone: | 7632521300 |
| Fax: | 7632521306 |
Provider Mailing Location
6025 SHENANDOAH LANE N
PLYMOUTH
MN
55446
Provider Mailing Phone/Fax
| Phone: | 7632521300 |
| Fax: |