Holt, Matthew Dale

Holt, Matthew Dale is an individual health care provider with primary practice located at 11330 Fountains Dr , Maple Grove MN 55369-7200. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Holt, Matthew Dale can be contacted via phone (763) 494-8059.

Contact Information

Primary practice address
11330 Fountains Dr Maple Grove MN 55369-7200
Phone: (763) 494-8059
Fax: (763) 494-8056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 116772 Minnesota

Profile Details

NPI number 1487937579
LBN Legal business name Holt, Matthew Dale
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2011
Last updated Sep 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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