Sara Florence Holvoet, PHARM D

Individual provider Active NPI Pharmacist · Keokuk, IA

NPI 1104480805 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1104480805
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
18982 (IA)
Practice address
300 N Park Dr
Keokuk, IA 52632-2200
Phone
(319) 524-4071
Fax
(319) 524-4073
NPI assigned
Apr 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18982IAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18982 IA Yes

Addresses

Primary practice location

300 N Park Dr
Keokuk, IA 52632-2200

Mailing address

3064 Highway 16
Wever, IA 52658-9534

Other identifiers

IdentifierTypeStateIssuer
18982OtherIAIOWA LICENSE NUMBER

Other names

  • Sara Florence Blint Former name

Other providers in Keokuk, IA

All providers in Keokuk, IA · Pharmacist in Iowa

Sources for this page

Verify at the official NPI Registry.